Work, malaise, and well-being in Spanish and Latin-American doctors

ABSTRACT OBJECTIVE To analyze the relations between the meanings of working and the levels of doctors work well-being in the context of their working conditions. METHOD The research combined the qualitative methodology of textual analysis and the quantitative one of correspondence factor analysis. A convenience, intentional, and stratified sample composed of 305 Spanish and Latin American doctors completed an extensive questionnaire on the topics of the research. RESULTS The general meaning of working for the group located in the quartile of malaise included perceptions of discomfort, frustration, and exhaustion. However, those showing higher levels of well-being, located on the opposite quartile, associated their working experience with good conditions and the development of their professional and personal competences. CONCLUSIONS The study provides empirical evidence of the relationship between contextual factors and the meanings of working for participants with higher levels of malaise, and of the importance granted both to intrinsic and extrinsic factors by those who scored highest on well-being.

Malaise du nourrisson pensez à une intoxication à l'anis étoil [Apparent life-threatening event in infants: think about star anise intoxication!].

In previous years, several publications have reported cases of infants presenting neurological and gastrointestinal symptoms after ingestion of star anise tea. Such teas are sometimes given in various cultures for the treatment of infant colic pains. In most cases, the cause of intoxication was contamination of Chinese star anise (Illicium verum) by Japanese star anise (Illicium anisatum). Indeed, the toxicity of Illicium anisatum, also known as Shikimi, is caused by its content in potent neurotoxins (anisatin, neoanisatin, and pseudoanisatin), due to their activity as non-competitive antagonists of GABA receptors. The main reasons explaining the frequent contaminations are the strong macroscopic resemblance of the 2 substances, as well as the fact that the fruits are often sold partially broken or in ground form. Therefore, in most cases, chemical analysis is required to determine the possible adulterations. CASE REPORT: A 2-month-old infant, in good general health, was brought to the emergency unit after 3 consecutive episodes of central cyanosis and tetany of the limbs with spontaneous recovery the same afternoon. The child was also very irritable, regurgitated a lot, and positioned himself in opisthotonos. Between these episodes, the neurological exam showed some perturbations (horizontal nystagmus and Bell's phenomenon, hypertony of the extensor muscles, and mild hypotony of the axial flexor muscles) with slow improvement over the following hours. The remaining clinical exam, the laboratory work (complete blood count, renal, hepatic, and muscular tests, capillary blood gas, plasmatic amino acids, and urinary organic acids), and the electroencephalogram findings were all normal. In the course of a detailed interview, the parents reported having given 3 bottles to their child, each one containing 200 mL of an infusion with 4 to 5 fruits of star anise, in the hours preceding the symptoms to relieve colic pains. The last seizure-like event took place approximately 8h after the last ingestion. We could prove the ingestion of anisatin, the toxic substance found in Japanese star anise, and the contamination of Chinese star anise by the Japanese species. Indeed, the anisatin analysis by liquid chromatography and mass spectroscopy (LC-MS) in a urine sample taken 22 h after the last infusion ingestion showed trace amounts of the substance. In another urine sample taken 33 h after ingestion, no anisatin could be detected. Furthermore, the analysis of the fruit sample gave an anisatin concentration of 7800 μg/kg while the maximum tolerance value in Switzerland is 1000 μg/kg. CONCLUSION: The evaluation of ALTE in infants should always include the possibility of intoxication. Star anise is generally considered a harmless medicine. Nevertheless, it can sometimes cause a severe intoxication resulting in various neurological and gastrointestinal symptoms. To prevent such events, not only the parents, but also the care personnel and pharmacists must be informed about the possible adverse effects caused either by the overdose of Chinese star anise or by the eventual contamination of herbal teas with Japanese star anise. A better control of the substances by the health authorities is also necessary.

Fauna de Muscidae (Diptera) em três localidades do Estado do Paraná, Brasil, capturada por armadilha Malaise

During two years, from August 1986 to July 1988, the entomofauna of some preserved areas of Parana State, southern Brazil, was sampled in a project called "Levantamento da Fauna Entomológica no Estado do Paraná (PROFAUPAR)". Specimens of Muscidae (Diptera) were sorted out from the material collected using Malaise traps in three of the eight sites sampled (Colombo, Ponta Grossa and Guarapuava) in the first year (August 1986 to July 1987). A total of 7,014 specimens of Muscidae was captured and 91 species were identified. Neodexiopsis flavipalpis Albuquerque was the most abundant species in Ponta Grossa (672 specimens) and in Guarapuava (332 specimens). For Colombo, the most abundant species was Neodexiopsis vulgaris Couri & Albuquerque (172 specimens). The highest richness of species and abundance were observed in Ponta Grossa (77 and 3,559 respectively). The total number of specimens and means values of capture were analyzed. Indices of diversity and evenness were used to discuss richness and dominance of species in each locality. Besides using ecological indices, species richness estimators were also used.

Resultados preliminares obtenidos a partir de una trampa Malaise situada en una zona mediterránea pirenaica

En este estudio se da cuenta de los distintos órdenes de artrópodos capturados mediante una trampa Malaise en Santa Coloma (Andorra) después de un año de muestreo. Han sido colectados 141.522 ejemplares pertenecientes a 20 órdenes distintos. El 99,5% corresponden a insectos, entre los cuales los dípteros (con el 74,1%), juntamente con los himenópteros (15,2%) y los homópteros (5,8%) constituyen más del 95% de las capturas realizadas. Se discute la fenología anual de los distintos grupos en el área de estudio y su relación con las circunstancias meteorológicas del año 1993. En general, las mayores abundancias de los principales grupos se registran entre la segunda mitad de la primavera y la primera mitad del verano debido a las condiciones xerotérmicas de dicha localidad.

Film as literature, or the Truffaldian Malaise

This chapter looks at L’Homme qui aimait les femmes (1977) as a privileged instance of the self-effacing, obliquely disruptive, reflexive aesthetics that characterizes Truffaut’s cinema, by means of an intermedial approach. Although an original story, written by Truffaut in collaboration with Suzanne Schiffman and Michel Fermaud, the film’s subject is the writing of a book containing the protagonist’s story. More importantly, its mode of address presents this story as literature, through a complex network of flashbacks and voiceover narrations that comment on and make sense of the fragmentary present-tense action scenes. As well as a film, this method resulted in an actual novel, or cinéroman, this time authored exclusively by the director under the same title of L’Homme qui aimait les femmes, thus giving material form to the literary aim of the cinematic enterprise: a book.

Japon, Indo-Chine, empire Birman (ou Ava), Siam, Annam (ou Cohinchine), Peninsule Malaise, etc., Ceylan /

Mode of access: Internet.

Hommage à la belgitude : mutations après honte et malaise

Para celebrar el 40º aniversario de la publicación del emblemático dosier «Une autre Belgique», donde se lanzó el neologismo belgitude, analizamos su impacto en el contexto de búsqueda de legitimación por parte de los escritores francófonos de Bélgica. Queriendo destacar el interés de textos menos citados, articulamos los numerosos discursos teóricos a partir del sintomático testimonio autobiográfico de Anne-Marie La Fère, titulado «Confession d’une Belge honteuse» (1980). Examinar las mutaciones entre 1950 y los 80 en la paradigmática evolución literaria de Jean Muno –que se proclama habitante de «Malaise»– permite ilustrar el proceso de afirmación identitaria en la periferia del Hexágono.

Ichneumonidae (Hymenoptera) capturados em armadilhas Malaise, em Rio Branco, AC.

A ordem Hymenoptera abriga espécies com hábitos parasitas ou predadores de outros insetos e, ainda, espécies polinizadoras de plantas. Constituem um grupo muito diversificado no que tange aos hábitos alimentares e comportamentais. As vespas parasitoides participam em mais de 50% das cadeias alimentares dos ambientes terrestres. A família Ichneumonidae é uma das maiores entre os Insecta, com aproximadamente 60.000 espécies descritas, sendo cerca de 17.000 na região Neotropical. Embora sua importância seja evidente, estudos da biodiversidade de parasitoides na região amazônica são escassos. Neste sentido, o objetivo deste levantamento foi aumentar o conhecimento sobre a fauna de Ichneumonidae no estado do Acre. Foram instaladas duas armadilhas Malaise (uma na bordadura e outra no interior) em um remanescente florestal, localizado no município de Rio Branco, AC. Semanalmente os frascos coletores, contendo álcool a 90%, eram recolhidos e trocados por novos. O material foi triado em laboratório e os parasitoides identificados em nível de subfamília, sob microscópio estereoscópio. A armadilha localizada na bordadura capturou 133 parasitoides de 13 subfamílias, enquanto a localizada no interior da mata capturou 210, de 15 subfamílias. As principais subfamílias foram Cryptinae e Cremastinae, correspondendo a aproximadamente 75% de todos os parasitoides capturados neste levantamento.