[Recognition of caregivers by people with severe neurocognitive disorders]. / La reconnaissance des soignants par les personnes atteintes d'une MNE.

The recognition of caregivers working with elderly people with neuro-evolutionary diseases is a fact. The caregivers interviewed for this study reported that they felt recognized and identified by these elderly people, who were considered to be prosopagnosic. The caregivers were even able to show that this recognition was possible, even during changes in appearance.

[The irresistible deployment of peer professionals in mental health]. / L'irrésistible déploiement des pairs professionnels en santé mentale.

Over the last fifteen years or so in France, the deployment of peer professionals in mental health seems to have accelerated. The benefits of peer support have been widely demonstrated. It is based on the experiential knowledge acquired by certain patients who have recovered during their course of treatment, which can be passed on by positive identification, stimulating hope and motivation. These unique skills are then complemented by more theoretical knowledge sanctioned by a diploma that legitimises the future professionals and gives them access to undisputed recognition to work alongside pre-existing systems. However, it is not always easy to integrate them into health and social teams.

["Recognize nurses for what they are: invaluable"]. / « Reconnaître les infirmières pour ce qu'elles sont, c'est-à-dire inestimables ¼.

Appointed Director General of the International Council of Nurses (ICN) in February 2019, Howard Catton is committed to ensuring that the ICN can effectively represent nursing around the world. He firmly believes that nurses must be at the heart of health policy decisions. With a nursing diploma and a master's degree in labor relations, he held a number of nursing positions in England and the United States before joining the New Zealand Nurses Organisation. For ten years, he directed the political and international affairs of the UK's Royal College of Nursing, then led ICN's action during the Covid-19 pandemic, while positioning himself in favor of protecting and investing in the nursing profession.

Development of a tool for infant facial emotion recognition (InFER) for postpartum mothers with mental illnesses.

Understanding deficits in recognition of infant emotions in mothers with mental illnesses is limited by the lack of validated instruments. We present the development and content validation of the infant facial emotion recognition tool (InFER) in India to examine the ability of mothers to detect the infants' emotions. A total of 164 images of infant faces in various emotional states were gathered from the parents of four infants (two male and two female: up to 12 months old). Infant emotion in each image was identified by the respective mother. Content validation was carried out by 21 experts. Images with ≥70% concordance among experts were selected. The newly developed tool, InFER, consists of a total 39 infant images representing the six basic emotions. This tool was then administered among mothers during their postpartum period-10 healthy mothers and 10 mothers who had remitted from any schizophrenia spectrum disorder, bipolar affective disorder or major depressive disorder. The mean age and mean years of education for both groups were comparable (age∼25 years, education ∼15 years). A significant difference was found between the two groups in their ability to recognize infant emotions (Mann-Whitney U = 12.5; p = 0.004). InFER is a promising tool in Indian settings for understanding maternal recognition of infant emotions.

La comprensión de los déficits en el reconocimiento de las emociones del infante en madres con enfermedades mentales está limitada por la falta de instrumentos validados. Presentamos el desarrollo y la validación de contenido de una herramienta para reconocer la emoción facial del infante (InFER) en la India. para examinar la habilidad de las madres para detectar las emociones del infante. Se recogió un total de 164 imágenes de caras de infantes en varios estados emocionales, aportadas por los progenitores de 4 infantes (dos varones y dos niñas: de hasta 12 meses de edad). La mamá respectiva identificó la emoción del infante en cada imagen. La validación del contenido la llevaron a cabo 21 expertos. Para la construcción de esta herramienta se seleccionaron las imágenes que presentaban el ≥70% de concordancia entre los expertos. La recientemente desarrollada herramienta, InFER está compuesta de un total de 39 imágenes de infantes las cuales representan las seis emociones básicas. Esta herramienta entonces se puso en práctica entre madres durante su período de postparto ­10 madres saludables y 10 madres que habían sido remitidas en relación con cualquiera de los trastornos de la gama de la esquizofrenia, el trastorno afectivo bipolar o un trastorno depresivo mayor. El promedio de edad y el promedio de años de educación en ambos grupos eran comparables (edad ∼25 años, educación ∼15years). Una diferencia significativa se encontró entre los dos grupos en cuanto a su habilidad de reconocer las emociones del infante (Mann­Whitney U = 12.5; p = 0.004). InFER es una herramienta prometedora en entornos de la India para comprender el reconocimiento materno de las emociones del infante.

La compréhension des déficits dans la reconnaissance des émotions du bébé chez les mères ayant des maladies mentales est limitée par le manque d'instruments validés. Nous présentons le développement et la validation du contenu d'un outil de reconnaissance de l'émotion faciale du nourrisson (InFER) en Inde afin d'examiner la capacité des mères à détecter les émotions du bébé. Un total de 164 images de visages de bébés dans des états émotionnels variés ont été assemblées de parents de 4 bébés (deux garçons et deux filles: jusqu'à l'âge de 12 mois) L'émotion du bébé dans chaque image a été identifiée par la mère respective. La validation du contenu a été faite par 21 experts. Des images avec ≥70% de concordance entre les experts ont été sélectionnées pour la construction de l'outil. Ce nouvel outil, InFER, consiste en un total de 39 images de bébés représentant les six émotions de base. Cet outil a ensuite été utilisé chez des mères durant leur période postpartum ­ 10 mères en bonne santé et 10 mères s'étant remises soit d'un trouble du spectre schizophrénique, soit d'un trouble affectif bipolaire ou d'un trouble dépressif majeur. La moyenne d'âge et la moyenne d'années d'éducation pour les deux groupes étaient comparables (âge∼25ans, éducation ∼15ans). Une différence importante a été trouvée entre les deux groupes dans leur capacité à reconnaître les émotions du bébé (Mann­Whitney U = 12,5; p = 0,004). InFER est un outil prometteur dans les contextes de l'Inde pour comprendre la reconnaissance maternelle des émotions du bébé.

[Perspectives on quality of life with endometriosis]. / Perspectives de la qualité de vie avec l'endométriose.

For women with endometriosis, pain, fatigue and digestive problems affect the quality of their daily lives. Many professionals work to help them find a balance between the disease and their activities, expectations and needs.

Asymmetric imaging through engineered Janus particle obscurants using a Monte Carlo approach for highly asymmetric scattering media.

The advancement of imaging systems has significantly ameliorated various technologies, including Intelligence Surveillance Reconnaissance Systems and Guidance Systems, by enhancing target detection, recognition, identification, positioning, and tracking capabilities. These systems can be countered by deploying obscurants like smoke, dust, or fog to hinder visibility and communication. However, these counter-systems affect the visibility of both sides of the cloud. In this sense, this manuscript introduces a new concept of a smoke cloud composed of engineered Janus particles to conceal the target image on one side while providing clear vision from the other. The proposed method exploits the unique scattering properties of Janus particles, which selectively interact with photons from different directions to open up the possibility of asymmetric imaging. This approach employs a model that combines a genetic algorithm with Discrete Dipole Approximation to optimize the Janus particles' geometrical parameters for the desired scattering properties. Moreover, we propose a Monte Carlo-based approach to calculate the image formed as photons pass through the cloud, considering highly asymmetric particles, such as Janus particles. The effectiveness of the cloud in disguising a target is evaluated by calculating the Probability of Detection (PD) and the Probability of Identification (PID) based on the constructed image. The optimized Janus particles can produce a cloud where it is possible to identify a target more than 50% of the time from one side (PID > 50%) while the target is not detected more than 50% of the time from the other side (PD < 50%). The results demonstrate that the Janus particle-engineered smoke enables asymmetric imaging with simultaneous concealment from one side and clear visualization from the other. This research opens intriguing possibilities for modern obscurant design and imaging systems through highly asymmetric and inhomogeneous particles besides target detection and identification capabilities in challenging environments.

Defining, collecting, and sharing perishable disaster data.

Researchers across disciplines have long sought to collect 'perishable data' in the context of disasters. Yet, this data type is neither consistently defined nor discussed in specific detail in the literature. To address this gap, this paper defines perishable data and provides guidance on ways to improve both how it is collected and shared. Here, perishable data is conceptualised as highly transient data that may degrade in quality, be irrevocably altered, or be permanently lost if not gathered soon after it is generated. Perishable data may include ephemeral information that must be collected to characterise pre-existing hazardous conditions, near-miss events, actual disasters, and longer-term recovery processes. This data may need to be gathered at multiple points in time across varying geographic scales to accurately characterise exposure, susceptibility to harm, or coping capacity. The paper considers ethical and logistical challenges and discusses opportunities to advance equitable perishable data collection and dissemination.

A importância do corpo junto à função de reconhecimento / The importance of the body in the recognition function / La importancia del cuerpo en la función de reconocimiento / L'importance du corps et la fonction de reconnaissance

Resumo O reconhecimento se apresenta como via pela qual o psiquismo poderá se desenvolver e complexificar a partir de seu encontro com o outro e as afetações que este irá suscitar. Da mesma forma, o reconhecimento se apresenta enquanto movimento de afirmação de si por um elemento do meio externo com o qual o indivíduo se relaciona. Nesse contexto, vemo-nos diante de modalidades de interação da personalidade por meio de vias não-verbais, o que confere grande relevância ao corpo em nosso estudo, apresentando-se enquanto palco que torna possível a expressão e reconhecimento de determinados conteúdos psíquicos que de outra forma não poderiam ser postos em cena nas relações.

Abstract Recognition is presented as a way the psyche can develop and complexify from its encounter with the other and the affects this will arouse. Likewise, recognition is presented as a movement of affirming oneself by an element of the external environment the individual relates to. In this context, we are faced with modalities of personality interaction via non-verbal means, giving the body great relevance in our study, which presents itself as a stage that makes it possible to express and recognize certain psychic contents that could not otherwise be brought into play in relationships.

Resumen El reconocimiento se presenta como una vía por la cual la psique puede desarrollarse y complejizarse a partir de su encuentro con el otro y los afectos que este generará. Asimismo, el reconocimiento manifiesta como un movimiento de afirmación por parte de un elemento del entorno externo con el que se relaciona el individuo. En este contexto, nos encontramos ante modalidades de interacción de la personalidad a través de vías no verbales, lo que otorga gran importancia al cuerpo en nuestro estudio, presentándose como una etapa que posibilita la expresión y reconocimiento de ciertos contenidos psíquicos que de otra manera no podrían ser puestos en juego en las relaciones.

Résumé La reconnaissance est présentée comme un moyen par lequel le psychisme peut se développer et se complexifier en fonction de sa rencontre avec l'autre et des affectations que cela va susciter. De même, la reconnaissance est présentée comme un mouvement d'affirmation de soi par un élément de l'environnement extérieur avec lequel l'individu est en relation. Dans ce contexte, nous sommes confrontés à des modalités d'interaction de la personnalité par des voies non verbales, ce qui donne une grande importance au corps dans notre étude, se présentant comme une étape qui rend possible l'expression et la reconnaissance de certains contenus psychiques qui, autrement, ne pourrait pas être joué dans les relations.

Registros políticos do sofrimento: identidade, trauma e transformação / Political registers of suffering: Identity, trauma, and transformation / Registres politiques de la souffrance: identité, trauma et transformation / Registros políticos del sufrimiento: identidad, trauma y transformación

Neste artigo apresentaremos algumas incidências sociais do sofrimento psíquico, suas valências políticas, formas de resistência e potencialidades transformativas. Distintas expressões e produções sociais de sofrimento no contexto brasileiro contemporâneo ligadas a gênero, sexualidade, raça e violência serão mobilizadas para uma análise a partir dos registros lacanianos de Real, Simbólico e Imaginário. Discutiremos a identitarização do sofrimento como uma estratégia de denúncia que tem na fixação traumática seu limite; a banalização da contingência no silenciamento de violências como efeitos de colonizações entre os eixos imaginário e real; e, por fim, a apresentação da espessura sintomática do sofrimento permitirá a utilização do registo simbólico como matriz de um horizonte de transformação social que se valha do passado para a construção de um futuro de liberdade ligado ao desejo.

Resumos In this paper, we will present some social occurrences of psychological suffering, their political implications, means of resistance, and transformative potentials. Different expressions and social productions of suffering in the contemporary Brazilian context related to gender, sexuality, race, and violence are mobilized for an analysis based on Lacanian registers of the Real, the Symbolic, and the Imaginary. We will discuss the identitarization of suffering as a denunciation strategy that has traumatic fixations as its limit; the banalization of contingency in the silencing of violence as effects of the colonization between the imaginary and the real axes; and finally, a presentation of the symptomatic structure of suffering will allow the use of the symbolic register as the matrix for a horizon of social transformation that articulates history and desire.

Dans cet article, nous présenterons quelques incidences sociales de la souffrance psychique, leurs dimensions politiques, formes de résistance et potentiel de transformation. Différentes expressions et productions sociales de la souffrance dans le contexte brésilien contemporain, liées au genre, à la sexualité, à la race et à la violence, seront mobilisées pour être analysées à partir des registres lacaniens du Réel, du Symbolique et de l'Imaginaire. Nous discuterons la tournant identitaire de la souffrance comme stratégie de dénonciation qui trouve ses limites dans la fixation traumatique; de la banalisation de la contingence dans le silence sur les violences comme effets de la colonisation entre les axes imaginaire et réel; finalement, la presentation de l'épaisseur symptomatique de la souffrance permettra l'utilisation du registre symbolique comme matrice pour un horizon de transformation sociale qui s'appuie sur le passé pour construire un avenir de liberte lié au désir

En este artículo presentaremos algunas manifestaciones sociales del sufrimiento psicológico, sus implicaciones políticas, modos de resistencia y potencialidades transformadoras. Se examinarán diferentes expresiones y producciones sociales del sufrimiento en el contexto contemporâneo de Brasil relacionadas con género, sexualidad, raza y violencia utilizando los registros lacanianos de lo real, lo simbólico y el imaginario. Discutiremos la identitarización del sufrimiento como una estrategia de denuncia que tiene como límite la fijación traumática; la banalización de la contingencia en el silenciamiento de la violencia como efectos de colonización entre los ejes imaginario y real; y, por último, la presentación de la espesura sintomática del sufrimiento permitirá la utilización del registro simbólico como matriz para un horizonte de transformación social que toma el pasado para construir un futuro de libertad articulado al deseo.

2022 Recommendations of the AFU Lithiasis Committee: Endoscopic description of renal papillae and stones.

Endoscopic observation is performed during treatments by flexible ureteroscopy to differentiate in situ between renal papillary abnormalities and stones based on their concordance with Daudon's morphological/composition descriptions adapted to endoscopy. These intraoperative visual analyses are now an integral part of the urinary stone disease diagnostic approach in addition to the morphological/structural and spectrophotometric analysis that remains the reference exam, but that loses information on the stone component representativeness due to the development of in situ laser lithotripsy. These are the first practical recommendations on the endoscopic description of renal papillae and stones. METHODOLOGY: These recommendations were developed using two methods: the Clinical Practice Recommendations (CPR) and the ADAPTE method, depending on whether the question was considered in the European Association of Urology (EAU) recommendations (https://uroweb.org/guidelines/urolithiasis [EAU Guidelines on urolithiasis. 2022]) and their adaptability to the French context.

[The pain referent: place in the team and leadership]. / Le référent douleur : place au sein de l'équipe et leadership.

The pain referent works in close proximity to patients, and holds this specific position in addition to his or her core job. As part of an overall policy to improve pain management within healthcare establishments, their main mission is to help harmonize the practices and knowledge of healthcare professionals. They can carry out a wide range of activities, and there is currently considerable variability in the way they do so. It is essential to provide them with support through training, links with the institution via the pain control committee in particular, and local management, but also to recognize their involvement.

Disaster reconnaissance framework for sustainable post-disaster materials management.

A first foundational assessment is provided for disaster debris reconnaissance that includes identifying tools and techniques for reconnaissance activities, identifying challenges in field reconnaissance, and identifying and developing preliminary guidelines and standards based on advancements from a workshop held in 2022. In this workshop, reconnaissance activities were analyzed in twofold: in relation to post-disaster debris and waste materials and in relation to waste management infrastructure. A four-phase timeline was included to capture the full lifecycle of management activities ranging from collection to temporary storage to final management route: pre-disaster or pre-reconnaissance, post-disaster response (days/weeks), short-term recovery (weeks/months), and long-term recovery (months/years). For successful reconnaissance, objectives of field activities and data collection needs; data types and metrics; and measurement and determination methods need to be identified. A reconnaissance framework, represented using a 3x2x2x4 matrix, is proposed to incorporate data attributes (tools, challenges, guides), reconnaissance attributes (debris, infrastructure; factors, actions), and time attributes (pre-event, response, short-term, long-term). This framework supports field reconnaissance missions and protocols that are longitudinally based and focused on post-disaster waste material and infrastructure metrics that advance sustainable materials management practices. To properly frame and develop effective reconnaissance activities, actions for all data attributes (tools, challenges, guides) are proposed to integrate sustainability and resilience considerations. While existing metrics, tools, methods, standards, and protocols can be adapted for sustainable post-disaster materials management reconnaissance, development of new approaches are needed for addressing unique aspects of disaster debris management.

CICIoT2023: A Real-Time Dataset and Benchmark for Large-Scale Attacks in IoT Environment.

Nowadays, the Internet of Things (IoT) concept plays a pivotal role in society and brings new capabilities to different industries. The number of IoT solutions in areas such as transportation and healthcare is increasing and new services are under development. In the last decade, society has experienced a drastic increase in IoT connections. In fact, IoT connections will increase in the next few years across different areas. Conversely, several challenges still need to be faced to enable efficient and secure operations (e.g., interoperability, security, and standards). Furthermore, although efforts have been made to produce datasets composed of attacks against IoT devices, several possible attacks are not considered. Most existing efforts do not consider an extensive network topology with real IoT devices. The main goal of this research is to propose a novel and extensive IoT attack dataset to foster the development of security analytics applications in real IoT operations. To accomplish this, 33 attacks are executed in an IoT topology composed of 105 devices. These attacks are classified into seven categories, namely DDoS, DoS, Recon, Web-based, brute force, spoofing, and Mirai. Finally, all attacks are executed by malicious IoT devices targeting other IoT devices. The dataset is available on the CIC Dataset website.

XRecon: An Explainbale IoT Reconnaissance Attack Detection System Based on Ensemble Learning.

IoT devices have grown in popularity in recent years. Statistics show that the number of online IoT devices exceeded 35 billion in 2022. This rapid growth in adoption made these devices an obvious target for malicious actors. Attacks such as botnets and malware injection usually start with a phase of reconnaissance to gather information about the target IoT device before exploitation. In this paper, we introduce a machine-learning-based detection system for reconnaissance attacks based on an explainable ensemble model. Our proposed system aims to detect scanning and reconnaissance activity of IoT devices and counter these attacks at an early stage of the attack campaign. The proposed system is designed to be efficient and lightweight to operate in severely resource-constrained environments. When tested, the implementation of the proposed system delivered an accuracy of 99%. Furthermore, the proposed system showed low false positive and false negative rates at 0.6% and 0.05%, respectively, while maintaining high efficiency and low resource consumption.

Variable Baseline and Flexible Configuration Stereo Vision Using Two Aerial Robots.

In this work, a new method for aerial robot remote sensing using stereo vision is proposed. A variable baseline and flexible configuration stereo setup is achieved by separating the left camera and right camera on two separate quadrotor aerial robots. Monocular cameras, one on each aerial robot, are used as a stereo pair, allowing independent adjustment of the pose of the stereo pair. In contrast to conventional stereo vision where two cameras are fixed, having a flexible configuration system allows a large degree of independence in changing the configuration in accordance with various kinds of applications. Larger baselines can be used for stereo vision of farther away targets while using a vertical stereo configuration in tasks where there would be a loss of horizontal overlap caused by a lack of suitable horizontal configuration. Additionally, a method for the practical use of variable baseline stereo vision is introduced, combining multiple point clouds from multiple stereo baselines. Issues from using an inappropriate baseline, such as estimation error induced by insufficient baseline, and occlusions from using too large a baseline can be avoided with this solution.

Sensor-Model-Based Trajectory Optimization for UAVs to Enhance Detection Performance: An Optimal Control Approach and Experimental Results.

UAVs are widely used for aerial reconnaissance with imaging sensors. For this, a high detection performance (accuracy of object detection) is desired in order to increase mission success. However, different environmental conditions (negatively) affect sensory data acquisition and automated object detection. For this reason, we present an innovative concept that maps the influence of selected environmental conditions on detection performance utilizing sensor performance models. These models are used in sensor-model-based trajectory optimization to generate optimized reference flight trajectories with aligned sensor control for a fixed-wing UAV in order to increase detection performance. These reference trajectories are calculated using nonlinear model predictive control as well as dynamic programming, both in combination with a newly developed sensor performance model, which is described in this work. To the best of our knowledge, this is the first sensor performance model to be used in unmanned aerial reconnaissance that maps the detection performance for a perception chain with a deep learning-based object detector with respect to selected environmental states. The reference trajectory determines the spatial and temporal positioning of the UAV and its imaging sensor with respect to the reconnaissance object on the ground. The trajectory optimization aims to influence sensor data acquisition by adjusting the sensor position, as part of the environmental states, in such a way that the subsequent automated object detection yields enhanced detection performance. Different constraints derived from perceptual, platform-specific, environmental, and mission-relevant requirements are incorporated into the optimization process. We evaluate the capabilities of the sensor performance model and our approach to sensor-model-based trajectory optimization by a series of simulated aerial reconnaissance tasks for ground vehicle detection. Compared to a variety of benchmark trajectories, our approach achieves an increase in detection performance of 4.48% on average for trajectory optimization with nonlinear model predictive control. With dynamic programming, we achieve even higher performance values that are equal to or close to the theoretical maximum detection performance values.

A Low Complexity Persistent Reconnaissance Algorithm for FANET.

In recent years, with the rapid progress of unmanned aerial vehicle (UAV) technology, UAV-based systems have been widely used in both civilian and military applications. Researchers have proposed various network architectures and routing protocols to address the network connectivity problems associated with the high mobility of UAVs, and have achieved considerable results in a flying ad hoc network (FANET). Although scholars have noted various threats to UAVs in practical applications, such as local magnetic field variation, acoustic interference, and radio signal hijacking, few studies have taken into account the dynamic nature of these threat factors. Moreover, the UAVs' high mobility combined with dynamic threats makes it more challenging to ensure connectivity while adapting to ever-changing scenarios. In this context, this paper introduces the concept of threat probability density function (threat PDF) and proposes a particle swarm optimization (PSO)-based threat avoidance and reconnaissance FANET construction algorithm (TARFC), which enables UAVs to dynamically adapt to avoid high-risk areas while maintaining FANET connectivity. Inspired by the graph editing distance, the total edit distance (TED) is defined to describe the alterations of the FANET and threat factors over time. Based on TED, a dynamic threat avoidance and continuous reconnaissance FANET operation algorithm (TA&CRFO) is proposed to realize semi-distributed control of the network. Simulation results show that both TARFC and TA&CRFO are effective in maintaining network connectivity and avoiding threats in dynamic scenarios. The average threat value of UAVs using TARFC and TA&CRFO is reduced by 3.99~27.51% and 3.07~26.63%, respectively, compared with the PSO algorithm. In addition, with limited distributed moderation, the complexity of the TA&CRFO algorithm is only 20.08% of that of TARFC.

The reality of organizational health in the Central Iraqi Football Federation from the point of view of those who manage the implementation of the annual curriculum.

The aim of this research is to identify the strengths and weaknesses of organizational health in the Iraqi Central Handball Federation from the point of view of those who manage the implementation of the annual curriculum, and adopt a descriptive approach in the method of studying the case. This is based on a sample of administrators of the Iraqi Handball Federation curriculum [trainers, governors, members, president, the 138 members of the Central Federation's Administrative Authority, the President, members of the sub-federations of the sports market (2021/2022) selected deliberately by 100% and then divided into statistical analysis sample (30), reconnaissance sample (10), and application sample (98)]. The regulatory health questionnaire in its Italian version was prepared to suit the specificity of the research and the type of sample it was assigned in accordance with systematic sequential steps for its acceptance of the main measurement cad actor in this research. This was then applied to address the problem researched, and its data were processed by the system (SPSS) to make conclusions and applications that help regulatory health in support of the efforts of the Central Handball Federation to implement the annual curriculum from the point of view of those who manage its implementation, and help activate the role of sponsors to manage the implementation of the annual curriculum in the Central Handball Federation effectively, and was then applied to address the research problem. It has complementary factors that need to be available at a high level in the Central Handball Federation to help manage the implementation of the annual curriculum in full, and its specificity in managing the implementation of the annual curriculum in the Central Handball Federation requires comprehensiveness and the need for its elements to achieve a high level of it. It is necessary to support them in the formation of the Central Handball Federation to further activate the role of the worlds and determine their role and avoid feeling the loss of efforts, a careful and periodic review of the level of organizational health must be conducted before planning the annual curriculum in the Central Handball Federation, modifying the paths of weakness, supporting its strengths and taking into account its suitability in order to achieve the goals when implemented later.

[Endoscopic papillary abnormalities and urinary stone recognition (EPSR): How and why?] / Reconnaissance endoscopique des anomalies papillaires et des calculs urinaires (REPC) : comment et quel intérêt ?

INTRODUCTION: The purpose of this article is to present the endoscopic papillary abnormalities and stone recognition (EPSR) to state-certified nurses (IDE and IBODE) working in the operating room. METHODS: This article is based on a literature review and the author's experience concerning the endoscopic papillary abnormalities and stone recognition. RESULTS: Since the advent of minimally invasive surgery and the laser, stones are no longer sent as one piece to laboratories, but fragmented. This has made it more difficult for biologists to fully analyze the stones, because they have less morphological data than before. Therefore, endoscopic papillary abnormalities and stone recognition have positioned themselves as tools that can compensate for this loss of information. They play a pivotal role in the identification of the lithogenesis cause, and thus allow a recurrence risk reduction of stones. CONCLUSION: Endoscopic papillary abnormalities and stone recognition are recent tools that require learning. However, the benefit of their uses is proven and is necessary for a complete management of urolithiasis.

The flux and flow of free-play and paradox.

This paper addresses the centrality of play and paradox for the emergence of symbol formation in the liminal space "between" the opposites that offer constraint on the analytic dyad. Complex Adaptive Systems theory is interwoven with Jungian ideas to consider the importance and, sadly, the diminishment of 'free play' globally. The possible relationship between the state of mind needed for 'free play' as similar to the state while in REM dream sleep is described. A clinical sandtray case provides grounding for the way that the implicit, procedural domain is relevant for shaping the interactions and patterns that emerge in the present moment that reflect both the past and the unfolding future. Amplification related to the patient's cultural background opened an understanding of imaginative engagement with family and friends in her history that revealed attachment alternatives. Further, Greek Hermes as a symbol of connection and paradox is offered along with Egyptian Nut and Seb who represent the need for space and the necessary differentiation that opens room for the flux and flow of creative energy within a system.

Cet article s'occupe de la place centrale du jeu et du paradoxe pour l'émergence de la formation du symbole dans l'espace intermédiaire, « entre ¼ les opposés, et qui offre une contrainte à la dyade analytique. La théorie des Systèmes Complexes Adaptifs est entrecroisée avec les idées Jungiennes pour considérer globalement l'importance - et tristement la diminution - du jeu libre. L'article décrit la relation entre deux états d'esprit similaires : celui requis pour le jeu libre et celui du sommeil paradoxal. Un cas de thérapie par le jeu de sable fournit les bases pour comprendre la façon dont le domaine lié à la mémoire implicite et procédurale est pertinent pour donner forme aux interactions et aux schémas qui émergent dans le moment présent et qui reflètent à la fois le passé et le futur en train d'apparaitre. L'amplification en lien avec le « background ¼ culturel du patient a aidé à comprendre que l'implication imaginative avec la famille et les amis soutient le jeu d'imagination très nécessaire et les choix d'attachement. De plus, le dieu grec Hermès en tant que symbole de lien et de paradoxe est proposé aux côtés des dieux égyptiens Nut et Seb qui représentent la différentiation nécessaire qui ouvre de l'espace pour le flux de l'énergie créative à l'intérieur d'un système.

El presente trabajo trata acerca de la centralidad del juego y de la paradoja para el emerger de la formación de símbolos en el espacio liminal ´entre´ los opuestos que presentan restricciones en la díada analítica. La teoría de Los Sistemas Adaptativos Complejos se interrelaciona con ideas Junguianas para considerar la importancia, y tristemente, la disminución del 'juego libre' globalmente. Se describe el estado de la mente necesario para el 'juego libre' como similar al estado REM durante el sueño. Un caso clínico de caja de arena brinda el fundamento para el modo en que el dominio procedural, implícito es relevante para dar forma a las interacciones y patrones que emergen en el momento presente y que reflejan ambos, el pasado y el futuro desplegándose. Amplificaciones vinculadas al contexto cultural del paciente ayudaron a expandir la comprensión respecto a que la participación imaginativa con amigos y familiares ayudó al juego con la imaginación tan necesitado y también con alternativas de apego. A su vez, el dios griego Hermes, como símbolo de la conexión y paradoja es ofrecido junto a los dioses egipcios Nut y Seb, quienes representan la necesaria diferenciación que abre espacio para el flujo y el fluir de la energía creativa dentro del sistema.