10 research outputs found
PoĂ©tique de lâexpĂ©rience
GĂ©rard Cogez, professeur Ă lâUniversitĂ© de Lille-II Il sâest agi dâabord de dĂ©gager quelques Ă©lĂ©ments propres Ă alimenter la rĂ©flexion portant sur le rĂ©cit dâexpĂ©rience. Plusieurs interrogations ont Ă©tĂ© formulĂ©es Ă cette occasion : sur les motivations qui poussent un sujet Ă produire une narration Ă partir de ce quâil croit ĂȘtre son expĂ©rience ; le dĂ©lai plus ou moins long qui sâĂ©coule entre le temps de lâexpĂ©rience et sa mise en rĂ©cit proprement dite (durĂ©e qui nâest pas sans retentissement ..
PoĂ©tique de lâexpĂ©rience
GĂ©rard Cogez, professeur Ă lâUniversitĂ© de Lille-II Il sâest agi dâabord de dĂ©gager quelques Ă©lĂ©ments propres Ă alimenter la rĂ©flexion portant sur le rĂ©cit dâexpĂ©rience. Plusieurs interrogations ont Ă©tĂ© formulĂ©es Ă cette occasion : sur les motivations qui poussent un sujet Ă produire une narration Ă partir de ce quâil croit ĂȘtre son expĂ©rience ; le dĂ©lai plus ou moins long qui sâĂ©coule entre le temps de lâexpĂ©rience et sa mise en rĂ©cit proprement dite (durĂ©e qui nâest pas sans retentissement ..
Le continent de lâautre mĂšre. Michel Leiris en Afrique
Cogez GĂ©rard. Le continent de lâautre mĂšre. Michel Leiris en Afrique. In: Gradhiva : revue d'histoire et d'archives de l'anthropologie, n°28, 2000. Dossier : Terrains retrouvĂ©s. pp. 46-59
La 628-E8 : digressions critiques et dérapages contrÎlés
Sans cĂ©der Ă un dĂ©sir excessif de taxinomie, on peut reconnaĂźtre sans peine que La 628-E8 est incontestablement un rĂ©cit de voyage et que son auteur lâa bien voulu ainsi, pour diverses raisons Ă examiner. Le contrat tacite qui lie lâĂ©crivain dâun rĂ©cit de voyage Ă son lecteur est en apparence des plus simples. Un auteur est censĂ© relater, Ă la premiĂšre personne, un pĂ©riple quâil a rĂ©ellement effectuĂ© et qui lâa conduit en des lieux quâil va sâefforcer dâĂ©voquer avec le plus dâobjectivitĂ© poss..
Objet cherché, accord perdu. Michel Leiris et l'Afrique
Cogez Gérard. Objet cherché, accord perdu. Michel Leiris et l'Afrique. In: L'Homme, 1999, tome 39 n°151. Récits et rituels. pp. 237-255
LâEurope en automobile
Lorsqu'en 1907, Octave Mirbeau fait paraĂźtre La 628-E8, rĂ©cit d'un voyage en automobile Ă travers l'Europe, il suscite aussitĂŽt le scandale : un chapitre consacrĂ© Ă la mort de Balzac - qui sera retirĂ© -, un Ă©loge des Allemands, au moment oĂč le patriotisme est devenu nationalisme, une cĂ©lĂ©bration, futuriste, de la vitesse et de sa violence. S'achevant Ă Strasbourg, ce rĂ©cit de voyage a rĂ©uni, cent ans aprĂšs, Ă l'UniversitĂ© Marc-Bloch de Strasbourg, une trentaine de chercheurs, pour les uns spĂ©cialistes de Mirbeau, pour les autres, comparatistes ou historiens d'art. L'Ćuvre europĂ©enne de Mirbeau a ainsi trouvĂ© sa place, Ă la frontiĂšre des pays et des genres
Successful thrombectomy is beneficial in patients with pre-stroke disability: Results from an international multicenter cohort study
International audienceAbstract Excessive alcohol consumption is the leading cause of liver diseases in Western countries, especially in France. Alcoholârelated liver disease (ARLD) is an extremely broad context and there remains much to accomplish in terms of identifying patients, improving prognosis and treatment, and standardising practices. The French Association for the Study of the Liver wished to organise guidelines together with the French Alcohol Society in order to summarise the best evidence available about several key clinical points in ARLD. These guidelines have been elaborated based on the level of evidence available in the literature and each recommendation has been analysed, discussed and voted by the panel of experts. They describe how patients with ARLD should be managed nowadays and discuss the main unsettled issues in the field
Thrombectomy complications in large vessel occlusions: Incidence, predictors, and clinical impact in the ETIS registry
International audienceBACKGROUND AND PURPOSE: Procedural complications in thrombectomy for large vessel occlusions of the anterior circulation are not well described. We investigated the incidence, risk factors, and clinical implications of thrombectomy complications in daily clinical practice. METHODS: We used data from the ongoing prospective multicenter observational Endovascular Treatment in Ischemic Stroke Registry in France. The present study is a retrospective analysis of 4029 stroke patients with anterior large vessel occlusions treated with thrombectomy between January 2015 and May 2020 in 18 centers. We systematically collected procedural data, incidence of embolic complications, perforations and dissections, clinical outcome at 90 days, and hemorrhagic complications. RESULTS: Procedural complications occurred in 7.99% (95% CI, 7.17%â8.87%), and embolus to a new territory (ENT) was the most frequent (5.2%). Predictors of ENTs were terminal carotid/tandem occlusion (odds ratio [OR], 5 [95% CI, 2.03â12.31]; P<0.001) and an increased total number of passes (OR, 1.22 [95% CI, 1.05â1.41]; P=0.006). ENTs were associated to worse clinical outcomes (90-day modified Rankin Scale score, 0â2; adjusted OR, 0.4 [95% CI, 0.25â0.63]; P<0.001), increased mortality (adjusted OR, 1.74 [95% CI, 1.2â2.53]; P<0.001), and symptomatic intracerebral hemorrhage (adjusted OR, 1.87 [95% CI, 1.15â3.03]; P=0.011). Perforations occurred in 1.69% (95% CI, 1.31%â2.13%). Predictors of perforations were terminal carotid/tandem occlusions (39.7% versus 27.6%; P=0.028). 40.7% of patients died at 90 days, and the overall rate of poor outcome was 74.6% in case of perforation. Dissections occurred in 1.46% (95% CI, 1.11%â1.88%) and were more common in younger patients (median age, 64.2 versus 70.2 years; P=0.002). Dissections did not affect the clinical outcome at 90 days. Besides dissection, complications were independent of the thrombectomy technique. CONCLUSIONS: Thrombectomy complication rate is not negligible, and ENTs were the most frequent. ENTs and perforations were associated with disability and mortality, and terminal carotid/tandem occlusions were a risk factor
Successful Thrombectomy Improves Functional Outcome in Tandem Occlusions with a Large Ischemic Core
International audienceBackground: Emergent stenting in tandem occlusions and mechanical thrombectomy (MT) of acute ischemic stroke related to large vessel occlusion (LVO-AIS) with a large core are tested independently. We aim to assess the impact of reperfusion with MT in patients with LVO-AIS with a large core and a tandem occlusion and to compare the safety of reperfusion between large core with tandem and nontandem occlusions in current practice. Methods: We analyzed data of all consecutive patients included in the prospective Endovascular Treatment in Ischemic Stroke Registry in France between January 2015 and March 2023 who presented with a pretreatment ASPECTS (Alberta Stroke Program Early CT Score) of 0â5 and angiographically proven tandem occlusion. The primary end point was a favorable outcome defined by a modified Rankin Scale (mRS) score of 0â3 at 90 days. Results: Among 262 included patients with a tandem occlusion and ASPECTS 0â5, 203 patients (77.5%) had a successful reperfusion (modified Thrombolysis in Cerebral Infarction grade 2b-3). Reperfused patients had a favorable shift in the overall mRS score distribution (adjusted odds ratio [aOR], 1.57 [1.22â2.03]; P < 0.001), higher rates of mRS score 0â3 (aOR, 7.03 [2.60â19.01]; P < 0.001) and mRS score 0â2 at 90 days (aOR, 3.85 [1.39â10.68]; P = 0.009) compared with nonreperfused. There was a trend between the occurrence of successful reperfusion and a decreased rate of symptomatic intracranial hemorrhage (aOR, 0.5 [0.22â1.13]; P = 0.096). Similar safety outcomes were observed after large core reperfusion in tandem and nontandem occlusions. Conclusions: Successful reperfusion was associated with a higher rate of favorable outcome in large core LVO-AIS with a tandem occlusion, with a safety profile similar to nontandem occlusion