Je ris, tu ris... nous apprenons

Comprend des références bibliographiques.Depuis quelque temps, dans le cadre du cours Italien I offert au Cégep Garneau, les résultats des évaluations en lien avec le vocabulaire ont été décevants : erreurs nombreuses, absence de réponses, moyennes faibles et difficultés à réutiliser les mots appris. Ce constat préoccupant m’a amené à considérer que l’approche pédagogique pour l’apprentissage du vocabulaire nécessitait sans doute des améliorations. Pour mieux comprendre cette réalité, j’ai tenu des rencontres informelles avec des étudiants afin d’avoir une meilleure idée des savoirs retenus. Les connaissances aisément rapportées faisaient occasionnellement référence à des mots présentés avec humour. J’en suis donc venu à me poser la question suivante : et si l’humour avait un impact sur l’apprentissage et la réutilisation des connaissances

Matériel pédagogique intégrant l’humour pour favoriser l’apprentissage et la réutilisation du vocabulaire de la langue italienne chez des étudiantes et étudiants de la formation générale complémentaire au collégial

Essai présenté à la Faculté d’éducation en vue de l’obtention du grade de Maître en enseignement (M.Éd.) Maîtrise en enseignement au collégial. Comprend des références bibliographiques

Meconium-stained amniotic fluid: a risk factor for postpartum hemorrhage

Background/aim Clinical data with respect to the impact of meconium on the risk of maternal hemorrhage are scarce. Therefore, in this study, we aimed to determine whether meconium-stained amniotic fluid (MSAF) represents a risk factor for postpartum hemorrhage (PPH) after vaginal delivery in a large unselected population. Patients and methods A retrospective cohort study evaluated 78,542 consecutive women who had a vaginal delivery between 24th and 44th weeks of gestation. The women who had undergone cesarean section were excluded to avoid possible bias. Postpartum blood loss was measured with graduated blood sack. Postpartum blood loss between 1,000 and 2,000 mL and >2,000 mL were classified as moderate and severe PPH, respectively. Results A total of 74,144 patients were available for analysis. According to the color of amniotic fluid (AF), two groups of patients were identified: MSAF (n=10,997) and clear AF (n=63,147). The rates of severe and massive PPH were found to be significantly higher in the MSAF group than that of clear AF group (OR=1.3, 95% CI: 1.2\u20131.5, p<0.001 and OR=2.5, 95% CI: 1.5\u20134.2, p<0.001). Operative vaginal delivery rate was found to be higher in the MSAF group than that of clear AF group, but the difference was only borderline significant (OR=1.5, 95% CI: 1.0\u20132.2, p=0.05). There were no significant differences between the MSAF and the clear AF groups with respect to episiotomies, second- or third-degree perineal tears, vaginal\u2013perineal thrombus, cervical lacerations, vaginal births after cesarean section, twin deliveries, and placental retention rates. Conclusion To the best of our knowledge, this is the first clinical study that has investigated the role of MSAF as a risk factor for PPH after vaginal delivery in an unselected population. Our results suggest that MSAF is significantly associated with higher risk of moderate and severe PPH than clear AF

Avaliação de sistemas de tratamento e reúso de esgoto sanitário para fins de irrigação

O presente trabalho teve como objetivo avaliar sistemas de tratamento de águas residuárias em áreas rurais, a fim de obter água com qualidade de reúso para irrigação. Os sistemas de tratamento foram montados na Fazenda Experimental Lageado localizada nas coordenadas 22o 55 S e 48o 26 W Gr, em Botucatu - SP/ Brasil. O primeiro sistema S1 envolveu tanque de sedimentação e sistema fitológico. O sistema S2 apresentou tanque de sedimentação, filtros anaeróbios e sistema fito-pedológico e o sistema S3 abrangeu tanque de sedimentação, reatores anaeróbios horizontais de leito fixo e sistema fitopedológico. No sistema fitológico S1, o índice de vazios da pedra britada foi de 0,456 e a vazão foi de 35,50+ 4,62 L h-1 a um tempo de detenção hidráulica de 13,2+ 1,92 h. A condutividade hidráulica saturada (Ks), volume de passagem (Vp) e porosidade nos leitos filtrantes do sistema fito-pedológico S2, que apresentavam ou não as camadas de areia grossa, foram, respectivamente de 7,0521 m h-1; 12,41 m3 h-1 e 0,46; a vazão de 43,05+3,41 L h-1 foi maior que a vazão de saída de 24,27+5,38 L h-1. Nas estruturas que compunham o sistema fito-pedológico S3, os resultados dos índices físicos foram de 7,0521 m h-1 (Ks), 7,26 m3 h-1 (Vp) e 0,46 (porosidade); os valores da vazão e do tempo de detenção hidráulica foram de respectivamente 5,26 L h-1; 44 h e 3,01 L h-1 e 76 h. Como bons parâmetros de desempenho e estabilidade dos sistemas de tratamento, os valores do pH apresentaram-se numa faixa adequada para o processo de digestão anaeróbia variando de 5,94 até 7,43, os da DQO, sólidos 2 em suspensão e P total sofreram reduções de até 90,5%; 87% e 72,7%, respectivamente e os do NTK apresentaram tendência de aumento de até 23,8%, na maioria das unidades de tratamento. A areia grossa não influiu nos valores da condutividade hidráulica saturada e nem na porosidade do leito...The present work had as objective evaluates wastewater treatment systems in rural areas, in order to obtain water with quality for reuse in irrigation. The wastewater treatment systems were mounted in Experimental Farm located in the coordinates 22o 55 S and 48o 26 W Gr, in Botucatu - SP / Brazil. The first system S1 involved sedimentation tank and fitologic system. The system S2 presented sedimentation tank, anaerobic filters and fito-pedologic system and the system S3 included sedimentation tank, horizontal anaerobic immobilized biomass reactors and fito-pedologic system. In the fitologic system S1, the emptiness index of the broken stone was of 0,456 and the flow was from 35,50+ 4,62 L h-1 to a time of hydraulic detention of 13,2+ 1,92 h. The saturated hydraulic conductivity (Ks), passage volum (Vp) and porosith in the filtering bed of fito-pedologic system S2, that presented or no the layers of thick sand, were, respectively of 7,0521 m h-1; 4 12,41 m3 h-1 and 0,46; the flow of 43,05+3,41 L h-1 was larger than the flow of exit of 24,27+5,38 L h-1. In the structures that composed the fito-pedologic system S3, the results of the physical indexes were of 7,0521 m h-1 (Ks), 7,26 m3 h-1 (Vp) and 0,46 (porosith); the values of the flow and of the time of hydraulic detention were of respectively 5,26 L h-1; 44 h and 3,01 L h-1; 76 h. As good acting parameters and stability of the treatment systems, the values of the pH came in an appropriate strip for the anaerobic digestion process varying from 5,94 to 7,43, the one of DQO, suspension solids and P total suffered reductions of up to 90,5%; 87% and 72,7%, respectively and the one of NTK presented increase tendency of up to 23,8%, in most of the treatment units. The thick sand didn't influence on the saturated hydraulic conductivity values and neither in the bed porosith system, but it interfered in the acting of the fito-pedologic unit... (Complete abstract, click electronic address below).Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES

Successful rescue hysteroscopic resection of a cervical ectopic pregnancy previously treated with methotrexate with no combined safety precautions.

BACKGROUND: Cervical pregnancy (CP) is a life-threatening condition that represents less than one percent of all ectopic pregnancies. Transvaginal sonography (TVS) is the gold standard for an accurate diagnosis. For hemodinamically stable women the available treatments involve a medical therapy, alone or in combination with interventional measures (hysteroscopy, angiographic embolization or laparoscopic ligation of uterine arteries). MATERIALS AND METHODS: The authors describe a CP unsuccessfully treated with methotrexate (MTX), but resolved with hysteroscopy. CASE REPORT: A nulliparous woman arrived with low abdominal pain without vaginal bleeding at six weeks of amenorrhea. TVS revealed a gestational sac implanted in the isthmic cervical region, with a serum beta-hCG of 1,100 mUI/ml, that raised to 4,274 mUI/ml in a week, despite one intrasaccular-MTX injections and two systemic doses. The authors arranged for a hysteroscopic resection with no previous dilatation of the cervix. They did not adopt any safety precautions to their procedure. CONCLUSION: It is difficult to define the exact role of hysteroscopy regarding CP. Despite some authors dispute on its complementary function to MTX, the authors believe that it could be used as a rescue method in case of MTX failure. The final aims of a proper management are to minimize the risk of haemorrhage and preserve women's fertility

Meconium-stained amniotic fluid: a risk factor for postpartum hemorrhage

Carlo Bouch&egrave;,1 Uri Wiesenfeld,1 Luca Ronfani,1 Roberto Simeone,2 Paolo Bogatti,1 Kristina Skerk,1 Giuseppe Ricci1,2 1Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy; 2Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy Background/aim: Clinical data with respect to the impact of meconium on the risk of maternal hemorrhage are scarce. Therefore, in this study, we aimed to determine whether meconium-stained amniotic fluid (MSAF) represents a risk factor for postpartum hemorrhage (PPH) after vaginal delivery in a large unselected population. Patients and methods: A retrospective cohort study evaluated 78,542 consecutive women who had a vaginal delivery between 24th and 44th weeks of gestation. The women who had undergone cesarean section were excluded to avoid possible bias. Postpartum blood loss was measured with graduated blood sack. Postpartum blood loss between 1,000 and 2,000 mL and &gt;2,000 mL were classified as moderate and severe PPH, respectively. Results: A total of 74,144 patients were available for analysis. According to the color of amniotic fluid (AF), two groups of patients were identified: MSAF (n=10,997) and clear AF (n=63,147). The rates of severe and massive PPH were found to be significantly higher in the MSAF group than that of clear AF group (OR=1.3, 95% CI: 1.2&ndash;1.5, p&lt;0.001 and OR=2.5, 95% CI: 1.5&ndash;4.2, p&lt;0.001). Operative vaginal delivery rate was found to be higher in the MSAF group than that of clear AF group, but the difference was only borderline significant (OR=1.5, 95% CI: 1.0&ndash;2.2, p=0.05). There were no significant differences between the MSAF and the clear AF groups with respect to episiotomies, second- or third-degree perineal tears, vaginal&ndash;perineal thrombus, cervical lacerations, vaginal births after cesarean section, twin deliveries, and placental retention rates. Conclusion: To the best of our knowledge, this is the first clinical study that has investigated the role of MSAF as a risk factor for PPH after vaginal delivery in an unselected population. Our results suggest that MSAF is significantly associated with higher risk of moderate and severe PPH than clear AF. Keywords: amniotic fluid, delivery complications, meconium, postpartum hemorrhag