242 research outputs found
Building new frontiers: An ecosystemic approach to development, culture, education, environment and quality of life
No full textQuality of life, natural and man-made environments, physical, social and mental well-being are currently undermined by all sorts of hazards and injuries; political, economical, social and cultural disarray normalise atrocious behaviours and violence throughout the world. Considering the multiple problems of difficult settlement or solution in our times, current environmental, social, cultural, educational, political and economic policies and practices are examined in view of new paradigms of growth, power, wealth, work and freedom. A multidimensional ecosystemic approach and planning model for the diagnosis and prognosis of quality of life integrate into a dynamic configuration four dimensions of being-in-the- world (intimate, interactive, social and biophysical), as they induce the events (deficits and assets), cope with consequences (desired or undesired) and reorganise for change, enhancing connexions and sealing ruptures. Development and evaluation of teaching programmes, research projects and public policies benefit from a deep understanding of the events, providing a critical comprehensive four-dimensional framework and planning model for effective and responsible action.education; culture; public policies; environment; ecosystems
Complications in pilon-fractures of the tibia - do they influence the outcome of treatment?
No full textBackground: The pilon fracture of the tibia carries a high risk of complications. In retrospective study the author asked, whether and which complications have influenced the outcome after operative treatment of pilon fractures.Methods: From 1990 to 1996 thirty pilon fractures of the distal tibia were operated in General Hospital Jesenice, Slovenia. Nineteen fractures (63%) were displaced intraarticular (AO/ASIF: 43-B2, C1 and C2; Type II according to Ruedi and Allgower), eleven fractures (37%) had intraarticular comminution (AO/ASIF: 43-B3 in C3; Type III). Eight fractures were open (27%). Eleven fractures were treated with minimal osteosynthesis (in five external fixator was added) and nineteen with plate fixation. Thirteen fractures were operated urgently (in first eight hours after injury). Among seventeen delayed treated fractures only two operations were delayed for seven days or more. Fourteen cases had at least one complication (secondary dislocation 2×, deep vein thrombosis 1×, toe contracture 1×, wound edge necrosis 2×, superficial infection 5×, osteitis/osteoarthritis 3×). Pain, range of motion and arthritic changes were evaluated at follow up. The worst of the factors determined the result of treatment.Results: Twenty-eight patients were evaluated on average five years after injury (25–102 months). Four patients have excellent, fourteen good, three fair and seven poor result. Stratified statistical analysis showed that type of fracture was the risk factor of unsuccessful outcome. Fractures with intraarticular comminution (Type III) have significantly worse results. Analysis of patients with complications showed that osteitis/osteoarthritis was another risk factor of unsatisfactory outcome. All patients with osteo-arthritis have bad results.Conclusions: This retrospective study of operatively treated pilon fractures of the tibia suggests that some complications do not preclude successful outcome. Type of the fracture and osteitis/osteoarthritis are believed to be critical factors for unsatisfactory outcome as both end in arthrosis.</p
Total Ankle Replacement for Osteoarthritis Following Pilon Fracture of the Tibia
No full text\ua9 The Author(s) 2018. Background: Outcomes for total ankle replacement (TAR) performed for osteoarthritis following pilon fracture are underreported. We compared the outcomes between different indications for TAR. Methods: Patient-reported outcome measures (PROMs) for TAR performed from 2006 to 2014 by a single surgeon were reviewed. Foot and Ankle Outcome Score (FAOS), SF-36, comorbidities, self-reported body mass index (BMI), and patient satisfaction scores were reviewed. Data were collected preoperatively and at 1 and 2 years postoperatively. Clinical notes and radiographs highlighted the indication for TAR. The following subgroups were created: osteoarthritis (OA), rheumatoid arthritis (RA), pilon fracture (PF), ankle fracture (AF), and posttraumatic arthritis without previous fracture (PTOA). PROMs were available for 173 TARs: 89 (51.4%) for OA, 36 (20.8%) for AF, 21 (12.1%) for RA, 15 (8.7%) for PF, and 12 (6.9%) for PTOA. The pilon fracture group were the youngest and had the highest BMI (mean, 56.5 years; mean BMI, 31.6 kg/m2). No difference was found in number of reported comorbidities (P >.05). Results: Significant improvement in FAOS scores was seen in all subgroups from preoperatively to 1 year (P =.01,.05, and.03). SF-36 had similar results for all subgroups with improvement in all parameters by 2 years. Significant improvement in role physical and role emotional domains was seen by 1 year following TAR (P =.018 and P =.042). Patient satisfaction scores were similar in each group. There was no major difference in any of the reported outcomes between subgroups by 2 years postoperatively. Conclusion: We found similar outcomes for patients who underwent TAR after pilon fracture compared to other indications. Level of Evidence: Level III, comparative study
“The Right to the City” An Ecosystemic Approach to Better Cities, Better Life
No full textUrbanism is a focus on cities and urban areas, their geography, economies, politics, social characteristics, as well as the effects on, and caused by, the built environment; it is linked to various aspects of quality of life: education, culture, justice, labour, environment, health, safety, housing, leisure, transport, consumption. This year, the United Nations proposed the following questions for the citizens of the world: What is the best thing about your city? What's the worst thing about your city? What do you want the authorities to do about it? What can you do about it? It is a clear attempt to foster civic participation and personal engagement, but to make things happen it is necessary to create active socio-cultural niches at many societal levels.Urbanism; politics; education; culture; justice
Place Jean-Paul-Riopelle, Montréal, 2002-2003
No full textArchitectes: Renée Daoust, Réal Lestage, Claude Provencher, Michel Roy.; Designer du mobilier urbain: Michel Dallaire.; Firmes d'architectes: Daoust Lestage Inc.; Provencher Roy Inc.; Firme d'architectes-paysagistes: Williams, Asselin, Ackaoui et Associés.;
Firme chargée de concevoir le mobilier urbain: Michel Dallaire design industriel inc.; Dates d'aménagement: 2002-2003.; Place construite au-dessus de l'autoroute Ville-Marie.; Prix Orange décerné par l'organisme Sauvons Montréal, 2004.; Photographie: Carlos Pineda, 2004.À droite, à l'arrière plan: Façade ouest du Palais des congrès de Montréal montrant dans le coin supérieur gauche la verrière Translucide conçue par Jean-François Cantin, Michel Lemieux et Victor Pilon en collaboration avec Martin Leblanc de N.O.M.A.D.E
Gestion des attentes et cadrage chez les entraîneurs de la LNH : la saison 2016-2017 des Canadiens de Montréal
No full textCe mémoire examine la gestion des attentes effectuée par les deux entraîneurs qui se sont succédé à la barre des Canadiens de Montréal lors de la saison 2016-2017, ainsi que les cadres utilisés à cette fin. Sachant que 1) des prestations inférieures aux attentes constituent un facteur déterminant dans le congédiement des entraîneurs (Humphreys et al., 2016) et 2) qu’aucun autre groupe exerçant ce métier en Amérique du Nord n’affiche un taux de roulement supérieur à celui observé dans la LNH (Zinser, 2008), le mythique club montréalais est apparu comme un environnement fécond pour aborder nombre de questions liées à ces phénomènes. Une analyse de discours a ainsi été effectuée à partir de la quasi-totalité des entretiens médiatiques livrés par Michel Therrien et Claude Julien sur une saison complète. Elle a été réalisée en mobilisant les concepts de gestion des attentes et de cadrage (framing). Concrètement, ce mémoire a tenté de savoir si les entraîneurs cherchent à gérer les attentes, de dégager certains modes opératoires ou tendances, en plus de proposer un inventaire des cadres employés dans ce contexte. Il a notamment été permis de constater l’adresse dont font preuve ces deux entraîneurs dans la gestion des attentes et le maniement des cadres, et ce, même s’ils affichent certains traits idiosyncrasiques. Par exemple, Claude Julien s’est montré plus réservé que son prédécesseur dans l’utilisation du cadre de la coupe Stanley. Par ailleurs, les résultats des analyses démontrent que les cadres ayant trait à la préparation, aux efforts et aux impondérables ont été les plus utilisés. Certains dénis de réalité se sont aussi révélés lors de périodes fastes, et les zones de tolérance ont démontré toute leur importance dans les situations inverses. Plutôt qu’un portrait de la gestion médiatique des attentes en milieu sportif, ce mémoire a été abordé comme une exploration, examinant une seule saison et n’ayant pu s’appuyer sur aucune autre étude relativement similaire, inexistante en apparence pour ce créneau singulier.This thesis examines expectation management as performed by the two different head coaches of the Montreal Canadiens during the 2016-2017 season along with the frames used to this end. Knowing that 1) failure to meet expectations is a key factor in head coach dismissals (Humphreys et al., 2016) and that 2) the NHL has the highest turnover rate in North America for that profession (Zinser, 2008), the work environment of the fabled Montreal Canadiens appeared to provide fertile ground to address questions linked to those phenomena. Nearly all media interviews given by Michel Therrien and Claude Julien over a full season were studied through discourse analysis, using the concepts of expectation management and framing. Specifically, this thesis investigates whether coaches try to manage expectations and if certain modus operandi or tendencies can be extracted while compiling an inventory of frames used in this context. It was found that both head coaches displayed adroitness and idiosyncratic traits in expectation management and in framing reality. Claude Julien, for instance, was more self-contained than his predecessor in using the Stanley Cup frame. Frames that pertained to preparation, efforts and contingencies were most frequently used. Certain forms of denialism also appeared during successful spells while zones of tolerance proved to be quite useful in difficult times. This thesis should be viewed as an exploration of public expectation management in sports rather than a comprehensive picture as it explores a single season while drawing on no other research, non-existent it seems in this peculiar niche
Gestion des attentes et cadrage chez les entraîneurs de la LNH : la saison 2016-2017 des Canadiens de Montréal
No full textCe mémoire examine la gestion des attentes effectuée par les deux entraîneurs qui se sont succédé à la barre des Canadiens de Montréal lors de la saison 2016-2017, ainsi que les cadres utilisés à cette fin. Sachant que 1) des prestations inférieures aux attentes constituent un facteur déterminant dans le congédiement des entraîneurs (Humphreys et al., 2016) et 2) qu’aucun autre groupe exerçant ce métier en Amérique du Nord n’affiche un taux de roulement supérieur à celui observé dans la LNH (Zinser, 2008), le mythique club montréalais est apparu comme un environnement fécond pour aborder nombre de questions liées à ces phénomènes. Une analyse de discours a ainsi été effectuée à partir de la quasi-totalité des entretiens médiatiques livrés par Michel Therrien et Claude Julien sur une saison complète. Elle a été réalisée en mobilisant les concepts de gestion des attentes et de cadrage (framing). Concrètement, ce mémoire a tenté de savoir si les entraîneurs cherchent à gérer les attentes, de dégager certains modes opératoires ou tendances, en plus de proposer un inventaire des cadres employés dans ce contexte. Il a notamment été permis de constater l’adresse dont font preuve ces deux entraîneurs dans la gestion des attentes et le maniement des cadres, et ce, même s’ils affichent certains traits idiosyncrasiques. Par exemple, Claude Julien s’est montré plus réservé que son prédécesseur dans l’utilisation du cadre de la coupe Stanley. Par ailleurs, les résultats des analyses démontrent que les cadres ayant trait à la préparation, aux efforts et aux impondérables ont été les plus utilisés. Certains dénis de réalité se sont aussi révélés lors de périodes fastes, et les zones de tolérance ont démontré toute leur importance dans les situations inverses. Plutôt qu’un portrait de la gestion médiatique des attentes en milieu sportif, ce mémoire a été abordé comme une exploration, examinant une seule saison et n’ayant pu s’appuyer sur aucune autre étude relativement similaire, inexistante en apparence pour ce créneau singulier.This thesis examines expectation management as performed by the two different head coaches of the Montreal Canadiens during the 2016-2017 season along with the frames used to this end. Knowing that 1) failure to meet expectations is a key factor in head coach dismissals (Humphreys et al., 2016) and that 2) the NHL has the highest turnover rate in North America for that profession (Zinser, 2008), the work environment of the fabled Montreal Canadiens appeared to provide fertile ground to address questions linked to those phenomena. Nearly all media interviews given by Michel Therrien and Claude Julien over a full season were studied through discourse analysis, using the concepts of expectation management and framing. Specifically, this thesis investigates whether coaches try to manage expectations and if certain modus operandi or tendencies can be extracted while compiling an inventory of frames used in this context. It was found that both head coaches displayed adroitness and idiosyncratic traits in expectation management and in framing reality. Claude Julien, for instance, was more self-contained than his predecessor in using the Stanley Cup frame. Frames that pertained to preparation, efforts and contingencies were most frequently used. Certain forms of denialism also appeared during successful spells while zones of tolerance proved to be quite useful in difficult times. This thesis should be viewed as an exploration of public expectation management in sports rather than a comprehensive picture as it explores a single season while drawing on no other research, non-existent it seems in this peculiar niche
La Fontaine: Fables
No full textThis sturdy hardbound book is about as standard as it gets. The pleasant additions here to the usual book of La Fontaine's fables include a reproduction of Chauveau's WC on the orange cloth cover and eight full-page black-and-white illustrations before the frontispiece and title-page. There are of course notes at the back, a life of La Fontaine, and an Avant-Propos. I am not sure as I write when or why I bought this book.This is a hardbound book (hard cover)Language note: FrenchNotes by Edmond Pilon & Fernand Dauphi
Saint-Denis: Royal Tombs
No full textTomb of Louis XII (died 1515) & his consort Anne de Bretagne (died 1514), view of the southeast corner; The change during the Renaissance in attitudes towards the affirmation of the individual is reflected in the later royal tombs at Saint-Denis. As with the medieval tombs, some were commissioned for the abbey, while others were brought in at a later date from their original places in various Paris churches, having been dismantled during the Revolution and re-erected under the Restoration after the closure of Alexandre Lenoir's Musée des Monuments Français. All these monuments were later installed in new sites, most recently in the chancel of the church, where they constitute both a museum of the Kings of France and an important display of French funerary sculpture. The tomb of the Dukes of Orléans, formerly in the Celestine church, Paris (destroyed 1795), was commissioned by Louis XII in 1502 and was the first to reveal signs of a taste for the Italian style. The tomb of Louis XII and Anne of Brittany commissioned by Francis I in 1516, was completed only in 1531. The tomb of Francis I and Claude of France, commissioned by Henry II from Philibert de L'Orme in 1548, reveals a similar spirit but is still more grandiose in design and execution; it gives the impression of being an independent building, a triumphal arch constructed entirely in white marble. In 1817, as a part of his attempts to wipe out all traces of the Revolution, Louis XVIII commissioned Edme Gaulle (1762-1841) and Pierre Petitot (1760-1840) to execute figures of Louis XVI and Marie-Antoinette respectively; the statues depict the monarchs in their coronation robes and were based on the type of praying figures produced in the Renaissance. Source: Grove Art Online; http://www.groveart.com/ (accessed 2/3/2008
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