Ndegree35 - Neurophysiology solving the vomiting dilemma

Objectives: Post Covid severe vomiting together with proximal muscle weakness is a misleading combination, this describes a rare but definite clinical association between myasthenia gravis and autonomic failure and strengthen the concept that subacute autonomic neuropathy is an autoimmune disorder. Content: A 39 ys old adult female presented with postCovid severe vomiting for one year with 40 kgs loss Upper gastrointestinal endoscopy revealed gastric dilatation associated with eosophageal and gastric stasis and hypertrophic pyloric stenosis. the gastroenterologist sought neurological consultation for the coexisting unexplained limb weakness before operation EMG & NCV was all normal except instability of the MUAPs Slow rate Repetitive supramaximal stimulation (RNS) revealed significant decremental response with no significant high rate stimulation incrementation Chest CT revealed an anterior mediastinal mass Surprisingly, She had an old CT during the covid infection that showed the same mass. Thoracoscopic resection revealed type B1 thymoma Following tumor resection, the patient improved gradually, Few months later endoscopy revealed a normal stomach with strong peristaltic waves and the patient was symptom free Infections are recognized to trigger exacerbations and crisis in MG Dysautonomia is not a commonly recognized feature of myasthenia gravis, but there have been rare reports of myasthenia gravis coexisting with autonomic failure, usually in association with thymoma. The autonomic dysfunction can present as isolated gastroparesis these observations support a rare but definite clinical association between myasthenia gravis and autonomic failure Neurophysiology could reveal undiagnosed MG with thymoma causing autonomic dysfunction in the form of gastroparesis and agonizing vomiting. Keywords: Myasthenia gravis;Gastroparesis;Autonomic failure;Thymoma;PostCovid vomiting. French language not detected for EMBFRA articles source xmlCopyright © 2023

Does Covid-19 Increase the Risk of Atrial Fibrillation? A Retrospective Analysis of a Large Administrative Claims Database of Commercially Insured Non-Elderly and Medicare Advantage Beneficiaries in the United States

Background: Studies have suggested that myocardial damage due to severe acute respiratory syndrome-2 (SARS-CoV-2), commonly referred to as COVID-19, may increase the risk of arrhythmias. Objective(s): To compare the one-year incidence of atrial fibrillation (AF) among patients with COVID-19 as compared to patients with non-COVID-19 acute upper respiratory infection (AURI). Method(s): The Optum Clinformatics database, an administrative claims databaseof commercially insured beneficiaries in the United States (US), was used for study purposes. Three cohorts of patients were identified: patients with COVID-19 diagnosis in any setting (April 2020-June 2021);patients with AURI in the pandemic period (April 2020-June 2021);and patients with AURI in the pre-pandemic period (January 2018-December 2018). Patients with prior AF diagnosis were excluded from each cohort. Three sets of analysis comparing AF incidence were performed: COVID-19 cohort vs AURI pandemic cohort;COVID-19 cohort vs AURI pre-pandemic cohort;and AURI pandemic cohort vs AURI pre-pandemic cohort. For each of the three comparisons, a matching weight method was used to help ensure balance among groups on baseline socio-demographic and clinical comorbidities. Logistic regression was used to assess the odds of 1-year incident AF among matched patients. Result(s): When comparing the matched COVID-19 (n=102,227) and AURI pandemic (n=102,101) cohorts, one-year incidence of AF was significantly higher in the COVID-19 cohort (2.2% vs 1.2%;p<0.001), who were 83% more likely to develop AF (odds ratio [OR] 1.83;95% confidence interval [CI] 1.72-1.95) as compared to the AURI group. COVID-19 patients were also observed to have significantly higher risk of incident AF as compared to AURI pre-pandemic cohort (2.7% vs 1.6%;p<0.001;OR 1.70, 95% CI 1.63-1.78). No significant difference was observed in AF incidence among the AURI pandemic versus AURI pre-pandemic cohort (1.1% vs 1.2%;p=0.133;OR 0.95, 95% CI 0.90-1.01). Figure 1 depicts differences in AF incidence across the comparator cohorts. Conclusion(s): Patients with COVID-19 were observed to have a higher incidence of AF as compared to those with upper respiratory infections. Awareness amongst clinicians of an increased AF incidence in COVID-19 affected patients appears warranted. [Formula presented] French language not detected for EMBFRA articles source xmlCopyright © 2023

Cardiac Arrhythmias among Myocarditis Patients Positive with Covid-19 and Associated Mortality Risk, an Analysis from the 2020 National Inpatient Sample

Background: Viruses are the most common cause of myocarditis. With the ongoing COVID-19 pandemic, several cases of myocarditis have been reported in COVID-19 positive patients. Such patients may also experience a variety of arrhythmias that can provoke death. Objective(s): To evaluate the presence of various cardiac arrhythmias among COVID-19 positive myocarditis patients and understand their impact on mortality. Method(s): COVID-19 positive patients, admitted between April 1st 2020 to December 31st 2020, were recruited from the 2020 National Inpatient Sample. The presence of myocarditis and various cardiac arrhythmias were also identified via their respective ICD-10 codes. Logistic regression models were used to identify the odds of mortality in the presence of myocarditis. We further proceeded to estimate the odds of mortality among myocarditis patients who had various arrhythmias. Result(s): Our study found 6135 (0.4%) patients with myocarditis among 1628110 cases of COVID-19 recorded in the United States between April to December 2020. Age ranged between 0 - 90 years with a mean of 58 years. Multiple cardiac arrhythmias were also observed among myocarditis patients as 310 (5.1%) recorded supraventricular tachycardia, 520 (8.5%) had ventricular tachycardia, 120 (2.0%) had ventricular fibrillation, 520 (8.5%) had paroxysmal atrial fibrillation, 165 (2.7%) had atrial flutter, and 20 (0.3%) had long QT syndrome. The presence of myocarditis was linked with higher odds of mortality among all COVID-19 patients (aOR 2.551, 95% CI 2.405-2.706, p<0.01). Various cardiac arrhythmias were also potential predictors of mortality among myocarditis cases in COVID-19 patients, such as supraventricular tachycardia (aOR 1.346, 95% CI 1.041-1.74, p=0.023), ventricular tachycardia (aOR 1.896, 95% CI 1.557-2.308, p<0.01), ventricular fibrillation (aOR 4.161, 95% CI 2.74-6.319, p<0.01), and atrial flutter (aOR 1.485, 95% CI 1.047-2.106, p=0.026). Conclusion(s): Myocarditis was associated with higher mortality among COVID-19 admissions. Arrhythmias such as supraventricular tachycardia, ventricular tachycardia, ventricular fibrillation, and atrial flutter were predictive of higher mortality in these patients. Continued caution is advised among health-care providers encountering these arrhythmias in myocarditis patients who are COVID-19 positive. [Formula presented] French language not detected for EMBFRA articles source xmlCopyright © 2023

Les mots du COVID: en créole martiniquais et créole guadeloupéen par Raphaël Confiant et Hector Poullet (review)

The first entry is quite familiar in the COVID-19 era—the French term "Antivax," which comes out in Creole as "Moun ki kont vaksen ora-kou" (15). Many of the terms are similarly recognizable at a global scale and even across many languages, from comorbidité ("malady-batjé") to déconfinement ("dézankazaj") to pandémie ("maladi-tout-wonlatè") to quarantaine ("karantjou-fèmen"). In all, the forty-five terms that the authors present in Creole, with examples in both Creole and French translation, contribute to their effort to enrich their Creole languages, their intent "d'apporter [End Page 169] notre pierre aux efforts d'enrichissement lexical de nos créoles sans lesquels ces derniers n'ont pas d'avenir" (11).

'We are at war': securitisation, legitimation and COVID-19 pandemic politics in France

This article makes a case for studying the legitimation of emergency politics from the vantage point of securitisation. To that end, it zooms in on politics during the COVID-19 pandemic – a many-sided crisis that generated a heightened insecurity environment. Based on a qualitative content analysis of the French official rhetoric on two COVID-19 emergency measures, it foregrounds how securitising speech acts construing a macro threat and notable shifts in hierarchical ordering of securitisations underpinned justifications for COVID-19 pandemic politics. Conceptually, this research bridges the literature on legitimation and securitisation by synthesising scattered securitising elements in typologies of legitimation and outlining the legitimating function of two securitisation dynamics – macrosecuritisation and securitising dilemma. [ FROM AUTHOR] Copyright of Contemporary Politics is the property of Routledge 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 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 . (Copyright applies to all s.)

Multiple voices and lockdown

Between January 2019 and December 2022, a student (named L.A.) doing a BTS (a senior technologist's certificate) in Management was treated using a trimodal system of care by the BAPU of the Claude Bernard Center. How was this original system organized, and how did changes related to the lockdown of March-May 2020 allow for progress in the proposed treatment? The consulting psychologist, Ms. Beaudre, received the initial request: L.A. had multiple difficulties (learning, language, social, psychic, somatic, etc.). Rapid guidance was recommended in an individual space dedicated to educational psychology, while continuing with consultations. In the educational psychology space, L.A. met with Mr. Sanchez and first explained to him her concerns about her difficulties with the French language, her rejection of her mother tongue and her accent. Her learning difficulties made her fear she would fail the BTS. L.A. had low self-esteem. At the start of the lockdown of March-May 2020, the educational psychological support was done at a distance (by telephone), and this did not help to reduce L.A.'s anxiety. Shortly before the start of the lockdown, L.A. had met with Ms. Dziwulski, psychologist-psychotherapist, as part of a therapeutic relaxation session. The question of the physical isolation was an overwhelming concern. The isolation imposed by COVID-19 posed a serious problem for the continued use of this trimodal system of care: how to continue working with L.A.? Within the parameters of this trimodal care, an attempt was made to adapt the follow-up for L.A. around the question of the verbal contact via telephone and the physical presence (distant or real), in a way which would allow this young woman to question/examine the orders given by her inner voice that she called her "policeman". The temporary suspension of in person contact, as well as work on her self-image and imagination, the exclusivity of her inner voice and then the application of the telephone voice/real physical presence at the BAPU leading to the questioning of the role of the body in her difficulties, allowed L.A to exist differently. The establishment of and the modifications made to this system of care ultimately functioned as a mediation, which provided L.A. the possibility of acquiring another voice, another space in which to think.Copyright © 2023

Covid-19 Infection in Peritoneal Dialysis Patients: Epidemiological and Clinical Profile, Risk Factors and Mortality

Introduction: Since the beginning of the coronavirus infection 2019 (COVID-19) pandemic, the population of dialysis patients has been recognized as a population at high risk of infection due to immune background and comorbidities. This study aims to describe the epidemiological characteristics, mortality and risk factors for COVID-19 infection in this population. Study design: Retrospective cohort study Methods: Patients on peritoneal dialysis in a university hospital center tested positive for coronavirus-19 by PCR method by nasopharyngeal swab from January 2020 to June 2022. Epidemiological and medical data collected from computerized medical records and from the Registry of French language peritoneal dialysis. Analytical approach: Logistic regression analyzes conducted to identify epidemiological and clinical characteristics associated with COVID-19 and risk factors associated with COVID-19 infection Results: 21 (31.8%) patients on peritoneal dialysis developed COVID-19. The male sex was slightly predominant with 11 men (52.4%). The average age of the patients was 67.48 years +/- 16.48, the average body mass index of the patients affected was 24.26, the average length of seniority in dialysis of the patients was 2.54 years +/- 1.3 years. The predominant initial nephropathy was diabetic nephropathy, glomerulosclerosis, IgA nephropathy and interstitial nephropathy with rates of 38.1%, 19%, 9.5% and 9.5% respectively. The risk factors for covid infection found were: an antecedent of ischemic cardiopathy, the diabetic nephropathy Conclusion(s): While it is true that Sars-cov 2 infection and its complications have increased the mortality rate in most dialysis centres, it should be noted that other factors have contributed to the increase in mortality such as socioeconomic circumstances related to financial financial difficulties, missed consultation appointments secondary to the apprehension of contracting the disease while traveling to the centers as well as the difficult due to confinement. No conflict of interestCopyright © 2023

ENGLISH AND ROMANIAN PANDEMIC-RELATED TERMS

According to Singh (2005: 25) any change in a language goes through two phases: the innovation itself, and then dissemination. According to him, the first step is enriching the lexicon of a language, that is to say transforming it, making it as rich and as diverse as possible. [...]these remarks are commonsensical because if we are to look at what happens during the history of any language or rather if we are to follow the evolution of any lexicon, we are going to notice that language does not rush to come up with new words or coin new terms. At present one can notice a tendency towards foreignization which comes from the loan translation of structures from the source language or as a consequence of lexical borrowing. [...]certain terms may have come to the stage that Pym (2004:37) calls glocalized. (1) dinosaur = Greek dino 'terrible' + Greek saur 'lizard' (2) submarine = Latin sub 'under' + Latin marin- 'sea' (3) telephone = Greek tele 'far' + Greek phone 'voice' (4) telescope = Greek tele 'far' + Greek scope 'watcher' (5) stethoscope = Greek stetho 'breast/chest' + Greek scope 'watcher' (6) bronchoscope = Greek broncho 'windpipe' + Greek scope 'watcher' Both tele and scope have become part of hybrid compounds such as television and flouroscope, which include words borrowed from Old French (vision ultimately from Latin) and Latin (flouro from Latin fluere 'to flow').

Where is the journal at and where it is going after thirty-five years of publication: a forward-looking vision

On the occasion of its 35th anniversary, the editors of the Revue internationale PME asked us, as its founders, to take stock of its career and its future. We return, on the one hand, to its role in the development of the discipline affecting this research theme, and on the other hand, to its foreseeable evolution in the coming years. This exercise allows us to stress once again the importance of such a theme not only because of the very large number of these enterprises in all economies, but because of their increasingly recognized impact on their development. In this article, we summarize the choices of themes chosen by researchers in the early years of the journal. Subsequently, we focus on the themes that were expanded in the following decade, marking in particular the specificity and complexity of the subject. To then make some projections on what is possibly coming in this world of SMEs. Finally, we stop at the scientific importance of French precisely for the enrichment of this science as for any other science.

Introduction

Since 2010, there has been a noted increase in actions that seek to defend and contest religious rights. [...]these tendencies, often resonant at the local level, can also hold important sway when considering the large-scale regulation of religious diversity. On the one hand, parliamentary discussions were curtailed by government, which chose to limit representations by the public and interested parties at the time of hearings before the Commission of institutions (Commission des institutions);the parliamentary process was further truncated by the government’s decision to invoke closure of the bill, which ultimately resulted in incomplete discussion on the various articles (and amendments) contained in the legislative proposal. 8 On the other hand, the provincial government’s decision to employ the notwithstanding clauses, 9 to immunize the law (and government) against legal challenges to religious and equality rights contained in both the Canadian Charter of Rights and Freedoms 10 and the Quebec Charter of Human Rights and Freedoms, 11 indicates a troubling choice to employ public law instruments to curb constitutionally protected identity-based rights. [...]democracy” varies greatly in this context, protecting some rights to the detriment of others, as well as creating a new normative framework which is not only imbued with meaning, but also brings with it binding obligations. [...]readers may also notice an interesting gender divide—whereas the English language articles are written by three female academics, the French language articles are written by five male academics.

"A Most Remarkable Volume": Th e Long-Term Authority of Provenance in Christine de Pizan's Deracinated Military Manual

Important people owned and/ or marked in copies of French or English versions of the work, including kings and queens of both France and England too numerous to list, French royal ministers such as Louis XlV's minister Jean-Baptiste Colbert (16191683);Napoleon's chief aide-de-camp, Baron Gourgaud;and Napoleon himself.3 In England, George I gave a copy4 of the Fayttes to the Cambridge University Libraries in 1715;by 1773, George III perhaps missed it or perhaps was thinking of events taking place across the Atlantic, for he bought another copy, one bearing numerous marginal notes.5 Much later, Winston Churchill may have had access to his family's copy of Caxton's translation.6 Perhaps more surprising is that non-elite people of several stations, as well as several women, owned (and/or left marginalia in) copies. Never having gone to war, trained soldiers, or used gunpowder herself, Christine could not self-authorize as, for example, Chaucer had had his Wife of Bath do, voicing her reliance on "experience, though noon auctoritee" on the subject of marriage.7 Christine's subject matter called for a different authorizing epistemology, and she provided it amply in text and paratext, in rhetoric and visual representation.8 But posthumously, how did her auctoritas withstand sociopolitical changes, the end of the Hundred Years' War, changes in the technology of warfare, mediation into the wider distribution of print, and a Deleuzean déterritorialisation into the "frenemy" territory of England? After Christine's death, another kind of social capital, a sociopolitical and (in the end) economic authority, became attached to her work, in part because so many well-made manuscript copies and printed editions have survived in both French and English, and in part because so many of them later became rare collectibles. [...]although it is possible to reconstruct provenance that includes people well outside France and England (such as the known owners in Russia, Switzerland, and Japan), I concentrate here on owners of and markers in the English copies, who are mostly English people in England, signaling a few who were French, Welsh, and, later, American.

Linguistic contamination in the French of the pandemic: the lexicon of the state of health emergency (march 2020-april 2021)

Th e outbreak of the new coronavirus SARS-CoV-2 has given rise to an extraordinary linguistic vitality in which not only have mass media and institutional communication been involved, but also ordinary citizens, who have appropriated the "vocabulary of COVID-19". In this paper, we will discuss some "intra-linguistic contaminations" ( Minicucci 2020) which have emerged during the French pandemic period in the legislation of the so-called etat d'urgence sanitaire: quarantaine, isolement and rassemblement. Some comments will be made on words related to the laws and measures taken during the confi nement (the French lockdown): couvre-feu, bulle sociale and regle de six.

Couverture médiatique de la pandémie de COVID-19 en France et en Allemagne : quelques pistes pour une analyse discursive et comparative au moyen des cadres sémantiques

L'objectif de cette contribution est de présenter quelques pistes méthodologiques pour des analyses discursives et comparatives par le truchement des cadres sémantiques (frames). Sur la base du discours médiatique français et allemand développé a l'occasion de la pandémie de COVID-19 sont montrées des étapes successives d'une analyse qui se fonde sur deux approches distinctes des cadres qui sont mises en perspective au sein d'un modele intégratif. Dans un premier temps, au moyen de la ressource sémantique FrameNet, les cadres évoqués par des verbes sont examinés (démarche descendante) ;dans un deuxieme temps, la focale est mise sur les cadres évoqués par des éléments nominaux (démarche ascendante).Alternate :Ziel des Beitrags ist es, einige Überlegungen hinsichtlich diskursiv-vergleichender frameanalytischer Untersuchungsmöglichkeiten aufzuzeigen. Am Beispiel der französischen und deutschen Corona-Berichterstattung werden - im Hinblick auf diese Mediendiskurse - aufeinander aufbauende Analyseschritte vorgestellt, die sich auf zwei verschiedene Frame-Ansätze beziehen und im Rahmen eines integrativen Modells miteinander verzahnt werden. Zunächst werden prädikative Verb-Frames vor dem Hintergrund der semantischen Ressource FrameNet untersucht (top-down). In einem nächsten Schritt richtet sich der Fokus auf von Nomen aufgerufene (nominale) Konzeptframes (bottom-up).Alternate :The aim of this contribution is to present some methodological considerations within a comparative and discursive frame-based analysis. Using the example of the current French and German Covid-19 media coverage (media discourse), successive steps of analysis, which are based on two different frame approaches, will be connected in an integrative model. First, frames that are evoked by verbs will be analyzed using the lexical-semantic resource FrameNet (top-down). Second, the focus will be placed on frames evoked by nouns (bottom-up).

From the Editor's Desk

Edward Ousselin, Editor in Chief [End Page 13] The French Review Book Series How to Do Things with Style: Essays in Honor of Joan DeJean Edited by Amy S. Wyngaard and Roland Racevskis A Publication of the American Association of Teachers of French ISBN 978-1-7339360-5-7 This third volume in the French Review Book Series can be ordered online (price: $50.00) through the AATF Store: <https://frenchteachers.org/store>. [...]how do we, as teachers, go beyond the traditional representation of France as un vieux pays that is predominantly white, Catholic (or laïque), and linguistically homogeneous? The scope of the Book Series covers most of the rubrics of the French Review: Literature, Film, Society and Culture, Linguistics, Focus on the Classroom, Professional Issues.

Discours politique sur la pandémie du COVID-19: une étude de cas des allocutions télédiffusées de Sánchez et Macron en mars 2020

Partiendo de los postulados del análisis crítico del discurso, de la pragmática y la retórica, se estudiarán los procedimientos discursivos en el discurso político pronunciado por los dirigentes políticos en el marco de la pandemia actual. Los discursos de los jefes de Estado y de Gobierno francés y español, retransmitidos por medios de televisión en marzo de 2020 y cuyo objetivo primordial era decretar el estado de emergencia, constituyen el corpus del presente estudio. La metodología se basará en diversas categorías de análisis de recursos discursivos y retóricos (presuposiciones, metáforas, paralelismos), entre los que la deixis desempeñará un papel crucial como mecanismo fundamental de anclaje del material verbal en su contexto extralingüístico. Los resultados muestran características discursivas de las ideologías políticas en el poder en dos países vecinos, aunque culturalmente diversos: la France en guerre de Macron y la España unida de Sánchez.Alternate :This study draws on Critical Discourse Analysis, Pragmatics, and Rhetoric to investigate four instances of political discourse within the framework of the current pandemic situation. In particular, I analyse the statements by Spanish Prime Minister Pedro Sánchez and French President Emmanuel Macron released in March 2020 and aimed at announcing the state of emergency in Spain and France, respectively. Various categories of discursive and rhetorical resources are taken into account, such as presuppositions, metaphors, and parallels, among which deixis plays a crucial role as a fundamental mechanism for anchoring the verbal material in its extra-linguistic context. Strategic discursive functions are considered, above all in terms of persuasion and legitimacy, as expressed by the political leaders in question. The results highlight the discourse features of the political ideologies in power in two neighbouring, albeit culturally diverse countries: Macron's France en guerre and Sánchez's España unida.