Search

Jean-Paul Sartre's and Jacques Derrida's literary criticism differ significantly as far as the two writers' theoretical approach is concerned. On the one hand, a historicist perspective that takes into account the author's life and milieu; on the other, a reading that does not exit the text's perimeter and only in the text can the interpretation be confirmed. Both philosophers deal with the poetry of Francis Ponge and with Le Parti pris des choses. Sartre focuses on the reifying aspect of things, on its dangerousness, on its will to substitute itself to the committed and responsible world. Derrida's analysis, instead, is purely textual, and it questions the function of signature as the author's transformation into object. This article, therefore, seeks to explore the extent to which the two philosophers - despite their different critical methodology - agree on the mineralization of things, on its power to make the human being inert, and on the object's radically non-significant trait. If non-signification brings forth nausea and existential anguish in Sartre, for Derrida the impossibility of determining a specific meaning preludes to the plurality of différance, to the play of trace that does not impose or censor. [ABSTRACT FROM AUTHOR]

Copyright of Psycho-Oncologie is the property of Tech Science Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Résumé: Le protoxyde d'azote est un gaz incolore, inodore, utilisé assez largement par les services d'urgences (intra- ou extrahospitaliers) dans le cadre de la traumatologie adulte ou enfant ainsi que dans les cabinets dentaires. Il entre notamment dans la composition du mélange équimolaire d'oxygène et de protoxyde d'azote (MEOPA), où les deux gaz entrent à parts égales. Son utilisation dans le cadre du traitement des douleurs chroniques, en particulier neuropathiques, semble prometteuse. Le principal inconvénient du protoxyde d'azote est son cortège d'effets indésirables à type de nausées et de vomissements, ainsi que son accumulation dans une atmosphère confinée, notamment dans le cadre d'une utilisation au bloc opératoire. Dans le cadre d'une utilisation chronique, une toxicité neurologique et hématologique a été rapportée, en rapport avec une carence fonctionnelle en vitamine B12 (cobalamine) [1, 2]. Le protoxyde d'azote oxyde en effet de façon irréversible l'atome de cobalt présent au sein de la vitamine B12 et inactive partiellement la méthionine synthétase, aboutissant à un syndrome neuroanémique comme décrit dans la maladie de Biermer. Dans ce contexte, cet article se propose de définir les modalités pratiques de l'utilisation du protoxyde d'azote au long cours au regard du statut en vitamine B12 de chaque individu. [ABSTRACT FROM AUTHOR]

The article discusses Evidence and practice, which includes helping the professional in his practice, providing him with tools and methods. It also includes Chemo-induced nausea and vomiting: when to perform acupuncture? "Western medical acupuncture" in hot flashes? Acupuncture treatment of carpal tunnel syndrome: is there a benefit to adding 3F points and 4F contralateral? Chronic pain: what is the optimal duration of acupuncture treatment?.

Copyright of Adab Al-Kufa is the property of Republic of Iraq Ministry of Higher Education & Scientific Research (MOHESR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Douleur et Analgésie is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Psycho-Oncologie is the property of Tech Science Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

O objetivo deste estudo é analisar e discutir o papel que a música exerce no romance A náusea de Jean-Paul Sartre. Assim, em um primeiro momento se irá descrever o modo como a contingência se apresenta na obra, para em um segundo momento explicitar o efeito que a música exerce sobre o personagem Antoine Roquentin. O que será evidenciado, sobretudo, é a possibilidade de subjugar a contingência de maneira temporária em uma espécie de fuga salvacionista.

Copyright of Phytothérapie is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Résumé Objectif de l’étude Nous avons recherché une relation entre nausée et dysfonctionnement vestibulaire chez les patients traités par irradiation conformationnelle par modulation d’intensité (RCMI) pour un cancer de la tête et du cou. Patients et méthodes Il s’agit d’une étude prospective monocentrique incluant 31 patients. Une vidéonystagmographie a été réalisée au préalable et dans les 15 jours suivant la radiothérapie pour chaque patient. Les nausées ont été évaluées au début, chaque semaine, et lors de la vidéonystagmographie après la radiothérapie. Résultats Vingt-six patients ont bénéficié d’une vidéonystagmographie complète interprétable. Pour 14 de ces patients, une atteinte vestibulaire a été retenue après la radiothérapie. Six d’entre eux ont ressenti des nausées sans vertige durant l’irradiation. En analyse unifactorielle, nous avons retrouvé une relation statistiquement significative entre modification du fonctionnement vestibulaire sur la vidéonystagmographie et augmentation de la dose moyenne reçue par le vestibule ( p = 0,001, odds ratio [OR] : 1,08 [1,025–1,138]) mais il n’y avait pas de relation entre apparition de nausées et modification du fonctionnement vestibulaire sur les vidéonystagmographies ( p = 0,701). Conclusion La RCMI du système vestibulaire ne semble pas expliquer les nausées ressenties par les patients. Purpose We studied whether there is a relationship between nausea and vestibular disorders in patients treated with intensity modulated radiation therapy (IMRT) for head and neck cancer. Patients and methods We performed a prospective single-centre study that enrolled 31 patients. A videonystagmography was carried out before and within 15 days after radiation therapy for each patient. Nausea was assessed at baseline, every week, and at the post-radiotherapy videonystagmography visit. Results Twenty-six patients had benefited from a complete interpretable videonystagmography. For 14 of these patients vestibular damage was diagnosed post-radiotherapy. During irradiation, six patients felt nauseous, but without dizziness. In univariate analysis, we found a relationship statistically significant between the average dose received by the vestibules and vestibular disorder videonystagmography ( P = 0.001, odds ratio [OR]: 1.08 [1.025–.138]), but there was no relationship between vestibular disorder videonystagmography and nausea ( P = 0.701). Conclusions Irradiation of the vestibular system during IMRT does not seem to explain the nausea. [ABSTRACT FROM AUTHOR]

Résumé Durant la grossesse, les troubles digestifs sont très souvent favorisés par les changements physiologiques inhérents à cette période. Leur prise en charge repose en première intention sur des conseils hygiéno-diététiques, qui doivent être privilégiés par rapport à un traitement médicamenteux. Summary During pregnancy, digestive disorders are very often stimulated by the physiological changes inherent to this period. First-line treatment is based on personal health and dietary advice which must be favoured to a medication-based treatment. [ABSTRACT FROM AUTHOR]

Nausea and vomiting induced by cancer treatment (CINV) remain one of the most common and feared side effects in children despite the use of new drugs to prevent them. The existing recommendations for the prophylaxis and treatment of CINV are based on adult patients in Anglo-Saxon societies. Based on a recent review of the literature, we focused on specific pediatric issues in order to offer recommendations validated by the supportive care committee of the French society for childhood cancer., (Copyright © 2022 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.)

A imagem do corpo em Clarice Lispector pode centrar-se em várias perspectivas: o corpo como palco dos conflitos femininos reprimidos por um papel social tradicional e estereotipado, o corpo como veículo, ponto de inserção na existência que ajuda o ser humano a perceber a angústia, a náusea o vazio de estar vivo; o corpo como um elemento da dialéctica circular entre o mundo constituinte da consciência e o mundo constituído, entre o espírito e a natureza, sendo a linguagem mediadora dessa relação. Pretende-se analisar estas imagens do corpo em alguma da produção contística da autora.

Copyright of Electronic Turkish Studies is the property of Electronic Turkish Studies and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The joint recommendations for MASCC and ESMO in the prevention of chemotherapy and radiotherapy-induced nausea and vomiting are available to date in many languages. There was no French version. A working group of the European Fellowship for Pharmacists (EFP) and the Association francophone pour les soins oncologiques de support (AFSOS - French-speaking Association for Supportive Care in Cancer) through Specific Working Groups, has supported the translation to make it available to Frenchspeaking practitioners. The translation reproduces the recommendations published in 2010, in the state. [ABSTRACT FROM AUTHOR]

Summary: Post-traumatic small-bowel obstructions are rare and late complications following blunt abdominal trauma. Timely diagnosis is frequently impeded because of nonspecific associated symptoms, and furthermore, the degree of urgency is frequently underestimated due to the accidental cause. During the last 6years (2005–2011), we have observed only 2cases (4 and 10years old) with post-traumatic small-bowel obstruction. On admission the patients had a contusion on the abdominal wall, duodenal hematoma and a Chance fracture of the lumbar spine on the computed tomography (CT) scan. Although early clinical improvement was noted, progression of the disorder was observed for the following 15 days like an occlusive syndrome (abdominal distension, nausea, emesis). Abdominal ultrasound and computed tomography scan revealed small-bowel obstruction. At laparotomy, jejunal stenosis was found associated with mesenteric tears, which was resected with end-to-end anastomosis. Six to 8months of follow-up ascertained the therapeutic efficacy of the procedure. Post-traumatic small-bowel obstructions are rare; the clinical presentation is unspecific and appears with a time lag following the trauma. Echography and computed tomography scan can establish both the diagnosis and therapeutic choice. [Copyright &y& Elsevier]

Abstract: Nerium oleander is potentially lethal plants after ingestion. We report a case of poisoning by these plants. Our patient complained of nausea, vomiting, and diarrhoea. He had bradycardia during first twelve hours. He was discharge after 3 days. All parts of these plants are toxic and contain a variety of cardiac glycosides including oleandrin. In most cases, clinical management of poisoning by N. oleander involves administration of activated charcoal and supportive care. Digoxin specific Fab fragments are an effective treatment. [Copyright &y& Elsevier]

Copyright of Phytothérapie is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract: Objectives: A prophylactic anti-emetic strategy should depend on the number of nausea and vomiting risk factors. This study was undertaken to evaluate the practices of postoperative nausea and vomiting (PONV) prevention practices among obstetrician-gynaecologists, anaesthetists. Study design: A prospective, self-administered questionnaire survey was emailed to all Club d’Anesthésie Réanimation Obstétricale (Caro) members (French Obstetric and Gynaecology Anaesthetists’ Association). Methods: The questionnaire had closed-ended questions to evaluate each Caro member''s prophylactic anti-emetic practices. Questions concerned demographic datas, prophylactic anti-emetic drugs administered to the patients with or without well known risk factors for developing PONV, the existence of protocol to prevent PONV in their own department of anaesthesiology and their awareness of the existence of French Society of Anaesthesia and Intensive Care (Sfar) PONV prevention guidelines 2007. Results: Of 115 questionnaires, 66 respondents (57%) returned the questionnaires. Most of the respondents (74%) worked in a university hospital. Forty-two percent practiced exclusively in obstetric-gynaecology department. Fifty-six percent were anaesthetists for more than 20 years. Eighty-five percent of the physicians were well-informed about the SFAR''s PONV prevention guidelines. Thirty seven percent of respondents assessed Apfel score systematically for all their patients. The percentages, which didn’t calculate the probability of PONV with Apfel score or calculated only in cases of PONV history or travel sickness were 18% and 45% respectively. In cases of two or more risk factors, 63% used droperidol, dexamethasone and ondansetron in double or triple combinations. Conclusions: Although most surveyed practitioners were well informed about the new guidelines concerning PONV prevention, 27% not follow these guidelines regarding the administration of anti-emetic drugs. The calculation of Apfel score in the preoperative period must be also strengthened. [Copyright &y& Elsevier]

Oral administration is often difficult for tablets or capsules when patients have nausea, vomiting, dysphagia, deglutition disorder... Howewer, specifics dosages forms are avaible. This multidisciplinary approach has allowed to build a free practical guide for optimizing medical management for upper affected gastrointestinal system. We screened Vidal Hoptimal 2010 database to collect drugs with dosages forms adapted and build a booklet and an iPhone app for best supportive care in ambulatory care. Drugs are classified by pharmaceutical, dosage form, INN, trade mark. [ABSTRACT FROM AUTHOR]

Abstract: A young woman without any significant medical history received an epidural analgesia for labour. She suddenly presented headache, vision loss, nausea and arterial hypertension a few minutes after a 4-ml ropivacaine 0.75% bolus. The catheter was withdrawn and symptoms completely disappeared within 15minutes. A new epidural catheter was inserted. Thereafter, the patient gave birth to a healthy newborn infant. Half an hour later, while the epidural catheter was still infusing, she presented generalized tonicoclonic seizure. Potential diagnoses were systemic toxicity of local anaesthetics and eclampsia. Accordingly, the patient received intravenous lipid emulsion and magnesium sulphate. There was no biological abnomabilities. A final diagnosis of posterior reversible encephalopathy syndrome was made with MRI showing bilateral hyperintensity areas involving the cortex of the occipital and frontal areas asymmetrically. On the sixth day, after delivery, the patient was discharged seizure-free. Repeated MRI 4weeks after discharge was unremarkable. [Copyright &y& Elsevier]

The article discusses cultural anthropology, with reference to the definition and development of the cultural notion of disgust, as well as the phenomenon of nausea, as described by French existentialist philosopher Jean-Paul Sartre. Topics include aesthetic approaches to disgust, the idea of the disgusting aesthetic, and the subjectivity of disgust.

Nausea-vomiting, taste and olfactory disorders and mucositis induced by cancer treatment have a significant impact on a patient’s everyday life. It has been shown that these secondary effects are influenced by several risk factors including both treatment and patient characteristics. Impairment of daily life, particularly in oral food intake, is associated with a large spectrum of chemosensory dysfunctions that impact on patient quality of life. To date, it is well established that these symptoms are often underestimated and that their nutritional and psychosocial impacts are not yet sufficiently evaluated. Better knowledge of these chemotherapy-induced side effects and their related chemosensory dysfunction is warranted in order to provide evidence-based clinical preventive and therapeutic guidelines. [ABSTRACT FROM AUTHOR]

Copyright of IBS, Immuno-analyse & Biologie Specialisee is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract: Significant improvement towards an efficacious control of postoperative nausea and vomiting (PONV) has taken place recently. These improvements may be summarised using the «rule of three». That rule describes a pragmatic and rational approach of PONV control. First, identify the patient at risk using predictive factors. Second, modify the anaesthesia technique to keep the baseline risk as low as possible. Third, administer antiemetics rationally, considering their degree of efficacy, their risk, and their potential additive effects. Despite considerable research efforts, identifying the patient at high risk of PONV remains a difficult task. However, today, we understand the degree of efficacy, dose-responsiveness, and adverse effects of most antiemetics. None of those molecules should be regarded as being universally efficacious, there is no gold standard, and, when used alone, their degree of efficacy is limited. Thus, they should be combined for improved efficacy. Among the most promising molecules are butyrophenones (droperidol, haloperidol), 5-HT3 receptor antagonists (ondansetron, dolasetron, tropisetron, granisetron), and steroids (for instance, dexamethasone). The lack of relevant paediatric PONV data remains a major drawback and is highly unsatisfactory. Hopefully, future research will further improve the control of PONV not only in adults but also in children. [Copyright &y& Elsevier]

Copyright of EMC-Gynecologie--Obstetrique is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Abstract: Glucantime® is the most common stibied derivative used to treat cutaneous leishmaniasis (CL) in Tunisia; however adverse effects have been reported. Objectives. – This retrospective study deals with the various adverse of intramuscular glucantime® used for CL. Results. – Nineteen patients (21%) receiving intramuscular Glucantime® developed adverse effects. 8 male and 11 female patients, mean age 45, ranging from 8 to 84 years were affected. adverse effects were: fever (3), arthralgia and myalgia (4), nausea and vomiting (2), erythema nodosum (1), acute renal failure (3 including 1 lethal case), hepatic cytolysis (1), skin rash (4), and inflammation of the injection site (1). Conclusion. – Adverse effects of intramuscular Glucantime® were relatively frequent in our series. Arthralgia, myalgia, and skin rash were not severe and disappeared when the treatment was stopped. Stibiointoxication cases, mainly acute renal failure, were serious. [Copyright &y& Elsevier]

Objectives. – To evaluate in high-risk patients and in usual clinical conditions, the efficiency of treatments based on an algorithm on late (24 h) postoperative nausea and vomiting (PONV).Study design. – Prospective and descriptive.Methods. – The nature and efficiency of prophylactic and curative PONV treatments was evaluated 24 h after surgery under general anesthesia in patients at high risk of PONV, one and 15 month after the introduction of a clinical and therapeutic algorithm. A risk score based on the type of surgery and patients characteristics determined the prophylactic treatment: high risk = droperidol 1.25 mg + ondansetron 4 mg; moderate risk = droperidol 1.25 mg. Cost of prophylactic and curative treatment was calculated according to the exact number of vials of antiemetics used.Results. – The use of the therapeutic algorithm leads to a reduction of PONV by a half (47.7% of 109 patients in 1999 vs. 24.5% of 102 patients in 2001) while twice more patients received a prophylactic treatment (32.1% vs. 75.5%). The number of patients needed to be treated (NNT) according to the algorithm to avoid PONV was 1.8 in this high-risk population. However, the relative risk to have PONV was only reduced by 66% with the combination of two antiemetics in 2001 and 22.5% patients still suffered from PONV despite the double prophylactic treatments. The relative risk of PONV without prophylactic treatment was spontaneously reduced by 25% between the two study periods (54% vs. 40%). After 15 months, the recommendations were followed in 43.1% of patients. A curative treatment was given in the same percentage of patients in 2001 and 1999 (63.4% vs. 68%), but followed the recommendations in fivefold more patients (47% vs. 9.1%). The cost of PONV treatment (prophylactic and curative) was increased by 3.5-fold between the two periods (€ 55 for 109 patients vs. € 190 for 102 patients).Conclusion. – The use of a PONV therapeutic algorithm based on a scored risk was associated to a lower reduction of late PONV than already published in the literature while the cost was increased as expected. This suggests the efficacy of antiemetic prophylactic treatment might have been overestimated by large multicenter trials and is less in usual clinical conditions. Thus local evaluation of practice is required by performing quality insurance programs. [Copyright &y& Elsevier]

Objective. – To perform a synthesis regarding postoperative nausea and vomiting (PONV) after neurosurgery.Data extraction. – A Medline search was performed to identify publications about frequency, risk factors, prevention and treatment of PONV in adults and children, after neurosurgery.Data synthesis. – After neurosurgery, the estimated frequency of nausea is around 50% and around 39% for vomiting. After neurosurgery; PONV risk factors are female sex and infratentorial surgery. Children older than two years are at higher risk for PONV. To reduce baseline risk factors, it is recommended to use propofol for induction and maintenance of anaesthesia, to avoid nitrous oxide and to use hydration (20 ml/kg of crystalloids before induction). For PONV prophylaxis, ondansetron and droperidol may be given, using one drug for a moderate risk patient and both drugs for a high-risk patient. Droperidol should not be used in children as a first choice therapy because of an increased risk of extrapyramidal symptoms. Dexamethasone has not been evaluated after neurosurgery. Metoclopramide has no clinically relevant effect for PONV. Especially in neurosurgery, after occurrence of PONV, it is recommended to rule out a possible triggering factor that should need specific treatment. A global management of PONV is proposed, based on the administration of the same drugs given at half the doses used for prophylaxis. [Copyright &y& Elsevier]

Objectives. – To report the efficiency and direct cost induced by a quality insurance programme (QIP) aimed to reduce the incidence of post-operative nausea and vomiting (PONV) in the post-anaesthesia care unit.Type of study. – Prospective and descriptive study.Methods. – The occurrence and treatment of PONV were prospectively recorded in the post-anaesthesia care unit in a standardised file before and following therapeutic recommendations made by volunteers component of a QIP. Prophylaxis was administered to patients according to a score of risks based on the type of surgery and patient characteristics. The real cost induced by this change of practice was evaluated according to pharmacists’ accounts over 1 year.Results. – The QIP was associated to a 33.5% reduction of PONV relative risk and a 50% increase in prophylactic treatments. When this reduction of PONV was extrapolated to the total number of anaesthesia over 1 year, this QIP avoided PONV in 770 patients each year. The increase of cost reached €3572 as the cost by patient receiving a prophylactic treatment increased from €0.66 to €1.Conclusion. – Despite an increase in the individual cost of PONV prophylaxis, the selection of patients by a “home” score of risk limits the indications of prophylactic treatment. Thus the increase in cost remains in acceptable ranges. [Copyright &y& Elsevier]

Résumé La gastroentérite aiguë est une pathologie très fréquente dont la survenue augmente habituellement en hiver avec, le plus souvent, un pic au cours des deux premières semaines de janvier. Plus de 80% des patients guérissent en trois jours, ce qui explique que relativement peu consultent un médecin et atteste du rôle privilégié que le pharmacien d’officine peut jouer pour prévenir et traiter cette infection. Summary Acute gastroenteritis is a very common pathology which occurs more frequently in winter with a peak usually arising in the first two weeks of January. More than 80% of patients recover in three days, which explains why relatively few consult a doctor and highlights the importance of the community pharmacist who can play a role in preventing and treating this infection. [ABSTRACT FROM AUTHOR]

Although there is no recommendation in France relating to the treatment of nausea and vomiting of pregnancy, there are some in other countries, where ondansetron, widely used, appears to be an effective second-line treatment option behind doxylamine/vitamin B6 association and metoclopramide. However, based on some recent publication suggesting an increased risk of orofacial clefts and congenital heart defects in fetuses exposed in utero to ondansetron in the 1st trimester of pregnancy, the European Medicines Agency now states that this drug should not longer be used during this period. This 2019 decision is controversial and whether ondansetron can be used in pregnant women with severe vomiting during pregnancy is still in question., (Copyright © 2021. Published by Elsevier Masson SAS.)

Le mal des transports est un trouble lié au déplacement. Décrit comme un malaise accompagné de nausées et parfois de vomissements, il s’agit d’une crise neurodégénérative plurifactorielle dans laquelle intervient l’oreille interne. Bien que ses mécanismes restent mal connus, la cinétose ne constitue pas un motif de consultation médicale mais fait, le plus souvent, l’objet de demandes de conseil à l’officine. [ABSTRACT FROM AUTHOR]