Les lieux communs romanesques dans "La vie de Marianne"

Emplois très divers des topoi romanesques dans les premiers romans de Marivaux : dans leur registre héroïco-sentimental d'origine, dans la parodie, sur le mode comique à des fins de peinture du monde réel. Le jeu avec la topique dans la Vie de Marianne  : reprise, variation, recombinaison, changement d'éclairage, etc. Considérations générales sur l'indépendance des topoi par rapport aux thèmes et aux styles, sur leur fonction et sur leur devenir.Marivaux's early novels show a highly diverse use of novelistic toposes in the heroico-sentimental range of their genesis and in parody, as well as in the comic mode of their depiction of the real world . La Vie de Mariannerings all the changes on the topic: repetition, variation, recombination, changes in lighting, etc. This article provides some general reflections on the independence of the toposes with regard to themes and styles, as well as their function and realization

Creating Fair Models of Atherosclerotic Cardiovascular Disease Risk

Guidelines for the management of atherosclerotic cardiovascular disease (ASCVD) recommend the use of risk stratification models to identify patients most likely to benefit from cholesterol-lowering and other therapies. These models have differential performance across race and gender groups with inconsistent behavior across studies, potentially resulting in an inequitable distribution of beneficial therapy. In this work, we leverage adversarial learning and a large observational cohort extracted from electronic health records (EHRs) to develop a "fair" ASCVD risk prediction model with reduced variability in error rates across groups. We empirically demonstrate that our approach is capable of aligning the distribution of risk predictions conditioned on the outcome across several groups simultaneously for models built from high-dimensional EHR data. We also discuss the relevance of these results in the context of the empirical trade-off between fairness and model performance

Determination of marine risk by hydraulic coastal modelling – Application to Charente-Maritime coast

Water Qualit

The percutaneous needle tenotomy in the treatment of tendon contractures in brain damaged patients: Pilot study

ObjectiveAssessment of the feasibility and efficacy of percutaneous needle tenotomy in patients with neuro-orthopedic disorders secondary to impairment of the central nervous system.Material and methodFourteen patients were followed in the Physical medicine and rehabilitation Department from September 2014 to March 2015. The average age was 58.7years (29–86 y). The origin of neuro-orthopedic disorder was stroke (n=7), parkinsonism (n=2), head trauma (n=2), cerebral palsy (n=1), Little's disease (n=1) and Alzheimer's disease (n=1). The indication of percutaneous needle tenotomy was selected during a medical-surgical consultation. Twenty-one goals were identified: hygiene (n=6), pain (n=4), sitting (n=3), standing (n=4), transfers (n=1), walking (n=2), grasping (n=1). A total of 31sites were covered: the finger flexors (n=9), the semitendinosus, biceps femoris and tensor fascia lata (n=7), the Achilles tendon (n=5), the biceps and brachioradialis (N=3), the wrist flexors (n=2), flexor digitorum longus (7claw toes) and hip adductors (n=1). In 10 patients the treatment involved several sites. Tenotomy was performed with a 18Gneedle (1,2×40mm), under local or regional anesthesia. A plaster cast was associated with hamstring tenotomy if the objective was functional. A cast was always associated with Achilles tendon, elbow flexor and wrist flexor tenotomy. The Goal Attainment Scale (GAS) was used to assess the effectiveness of treatment.ResultsThe targets were achieved in all cases (GAS≥0). No side effects were noted.DiscussionPercutaneous needle tenotomy is a technique which can be used as treatment of some neuro-orthopedic disorders in brain-damaged patients. Percutaneous tenotomy of the Achilles’ tendon has already been described by Minkowitz. Our study shows the feasibility and effectiveness of needle tenotomy, sometimes multi-site, performed in this type of patient

Towards improved management of coastal submersion crises - CRISMA-WAVE solution as an example of CRISMA Framework application

Coping with various types of natural or man-made hazards the FP7 SECURITY CRISMA project (http://www.crisrnaprojecteu) has designed and developed an experimental software framework allowing building crisis management simulation application. One of the five pilot applications of CRISMA dealing with preparedness to the coastal submersions was developed and implemented using return of experience of the reference Xynthia storm surge event in the Charente Maritime County in France. The paper addresses the generic CRISMA Framework applicability to simulate mitigation effects of a coastal submersion through CRISMA-Wave implementation of a full modelling cycle. The CRISMA-Wave paradigm reflects user needs for simulation of "what-if" scenarios for short and long-term actions and the paper describes in particular its different components : *Simulation of submersion effects at a range of temporal and spatial scales, *Preparedness Planning, *Assessment of impacts depending on scenarios based on options for managing the inundation risks, *Cascading effects and *Evaluation of damages with comparison of submersion defence scenarios based on cost-benefit and multi criteria analysis