375 research outputs found

    La violence de masse via les autoportraits d'Otto Dix en soldat (1914-1947)

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    En voulant utiliser l’art pour parler d’histoire, nous avons choisi la peinture d’Otto Dix en raison de son Ă©trangetĂ© et de la variĂ©tĂ© des styles employĂ©s. Nous avons sĂ©lectionnĂ© quelques autoportraits emblĂ©matiques de son travail pour prĂ©parer une sĂ©ance en classe de 3e « prĂ©pa-pro » afin de sensibiliser les Ă©lĂšves Ă  ce qu’implique une guerre dite totale sur les soldats et les civils concernĂ©s

    Social Context Effects in the Stroop Task: When Knowledge of One’s Relative Standing Makes a Difference

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    Cet article s’inscrit dans le prolongement d’une sĂ©rie de recherches faisant apparaĂźtre la comparaison sociale comme un puissant rĂ©gulateur de l’effet Stroop. Les rĂ©sultats de deux Ă©tudes expĂ©rimentales montrent que cet effet est rĂ©duit dĂšs lors que le sujet est confrontĂ© Ă  une comparaison qui lui est dĂ©favorable, cela mĂȘme en l’absence d’instructions compĂ©titives et des personnes impliquĂ©es dans cette comparaison au moment de l’activitĂ© cible. Ces nouveaux rĂ©sultats montrent que des informations en rapport Ă  soi issues de l’environnement social peuvent influencer des phĂ©nomĂšnes cognitifs encore typiquement Ă©tudiĂ©s en dehors de la psychologie sociale.This paper expands on prior research demonstrating the power of social comparison in Stroop’s paradigm. In two experiments, it is shown that the Stroop effect is reduced whenever the subject is threatened by social comparison, even in the lack of competitive instructions and comparison others during the Stroop session. These new findings show that self-related information arising from the social world can influence cognitive phenomena which are yet typically examined outside social psychology

    Postcardiac arrest syndrome: from immediate resuscitation to long-term outcome

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    The prognosis for postcardiac arrest patients remains very bleak, not only because of anoxic-ischemic neurological damage, but also because of the "postcardiac arrest syndrome," a phenomenon often severe enough to cause death before any neurological evaluation. This syndrome includes all clinical and biological manifestations related to the phenomenon of global ischemia-reperfusion triggered by cardiac arrest and return of spontaneous circulation. The main component of the postcardiac arrest syndrome is an early but severe cardiocirculatory dysfunction that may lead to multiple organ failure and death

    Two-Year Outcome of Aflibercept in Patients with Pigment Epithelial Detachment due to Neovascular Age-Related Macular Degeneration (nAMD) Refractory to Ranibizumab

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    Purpose. To evaluate the response of intravitreal aflibercept injection (IAI) in eyes with detachment of retinal pigment epithelium (DEP) secondary to nAMD refractory to monthly ranibizumab. Patients and Methods. This is a retrospective, multicenter study. All patients received 3 IAI then treated as needed every 4 weeks for 12 months. During the second year, the eyes were treated with a treat- and-extend regimen. Results. Forty-four eyes were included. Best-corrected visual acuity improved significantly after the loading phase (3.1 ± 6.4 letters) and at 6 months (2.8 ± 6.4 letters), but change was not significant at 1 year and 2 years. The height of the DEP was significantly decreased at 3 months and 6 months, but the difference did not reach statistical difference at 1 and 2 years. Rate of eyes with complete resolution of exudation was 59% after the loading phase and 34.3% at 2 years. Mean interval of anti-VEGF injection was extended from 31 ± 2.6 days to 61 ± 5 days after conversion. Conclusions. Aflibercept intravitreal injection in patients with fibrovascular DEP due to nAMD who respond poorly to monthly ranibizumab led to short-term functional and anatomical improvement. Reduction of intravitreal injection frequency was obtained until 2 years of follow-up

    Delayed awakening after cardiac arrest: prevalence and risk factors in the Parisian registry

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    PURPOSE: Although prolonged unconsciousness after cardiac arrest (CA) is a sign of poor neurological outcome, limited evidence shows that a late recovery may occur in a minority of patients. We investigated the prevalence and the predictive factors of delayed awakening in comatose CA survivors treated with targeted temperature management (TTM). METHODS: Retrospective analysis of the Parisian Region Out-of-Hospital CA Registry (2008-2013). In adult comatose CA survivors treated with TTM, sedated with midazolam and fentanyl, time to awakening was measured starting from discontinuation of sedation at the end of rewarming. Awakening was defined as delayed when it occurred after more than 48 h. RESULTS: A total of 326 patients (71 % male, mean age 59 ± 16 years) were included, among whom 194 awoke. Delayed awakening occurred in 56/194 (29 %) patients, at a median time of 93 h (IQR 70-117) from discontinuation of sedation. In 5/56 (9 %) late awakeners, pupillary reflex and motor response were both absent 48 h after sedation discontinuation. In multivariate analysis, age over 59 years (OR 2.1, 95 % CI 1.0-4.3), post-resuscitation shock (OR 2.6 [1.3-5.2]), and renal insufficiency at admission (OR 3.1 [1.4-6.8]) were associated with significantly higher rates of delayed awakening. CONCLUSIONS: Delayed awakening is common among patients recovering from coma after CA. Renal insufficiency, older age, and post-resuscitation shock were independent predictors of delayed awakening. Presence of unfavorable neurological signs at 48 h after rewarming from TTM and discontinuation of sedation did not rule out recovery of consciousness in late awakeners

    DonnĂ©es rĂ©centes sur l’occupation humaine dans les Alpes mĂ©ridionales durant l’AntiquitĂ©

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    Parmi les nombreux travaux portant sur l’occupation du milieu alpin, trĂšs peu concernent la pĂ©riode antique. Les recherches, souvent anciennes, se sont focalisĂ©es sur des questions telles que les grandes voies transalpines, l’organisation administrative des rĂ©gions alpines ou le dĂ©veloppement urbain. L’occupation de ces rĂ©gions Ă©tait principalement apprĂ©hendĂ©e Ă  travers quelques dĂ©couvertes ou des fouilles anciennes, principalement dans les fonds de vallĂ©es des Alpes du Nord. Le dĂ©veloppement de l’archĂ©ologie prĂ©ventive a permis d’acquĂ©rir de nouvelles connaissances dans les zones basses mais ce sont surtout les recherches entreprises, depuis une dizaine d’annĂ©es dans les Alpes mĂ©ridionales, qui ont fait progresser les connaissances sur le peuplement de la montagne, en apprĂ©hendant ce milieu dans son ensemble, depuis les vallĂ©es jusqu’à la haute montagne.Amongst the many research projects dealing with the occupation of alpine landscapes, very few directly deal with the Roman period. Older research projects often emphasised the study of the major trans-Alpine routes, or the administrative organisation of the urban zones in the Alps. The settlement of these regions was primarily based on data from earlier excavations, mainly from the valley bottoms of the northernAlps. Rescue (or salvage) archaeology has enhanced our knowledge of lowland alpine archaeology, but it is the research undertaken during the past decade in the Southern Alps that increased our understanding of mountain populations covering all altitudes from valley bottoms to the high altitudes

    Sports-related sudden cardiac arrest in young adults

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    AIMS Data on sports-related sudden cardiac arrest (SrSCA) among young adults in the general population are scarce. We aimed to determine the overall SrSCA incidence, characteristics, and outcomes in young adults. METHODS AND RESULTS Prospective cohort study of all cases of SrSCA between 2012 and 2019 in Germany and Paris area, France, involving subjects aged 18-35 years. Detection of SrSCA was achieved via multiple sources, including emergency medical services (EMS) reporting and web-based screening of media releases. Cases and aetiologies were centrally adjudicated. Overall, a total of 147 SrSCA (mean age 28.1 ± 4.8 years, 95.2% males) occurred, with an overall burden of 4.77 [95% confidence interval (CI) 2.85-6.68] cases per million-year, including 12 (8.2%) cases in young competitive athletes. While bystander cardiopulmonary resuscitation (CPR) was initiated in 114 (82.6%), automated external defibrillator (AED) use by bystanders occurred only in a minority (7.5%). Public AED use prior to EMS arrival (odds ratio 6.25, 95% CI 1.48-43.20, P = 0.02) was the strongest independent predictor of survival at hospital discharge (38.1%). Among cases that benefited from both immediate bystander CPR and AED use, survival rate was 90.9%. Coronary artery disease was the most frequent aetiology (25.8%), mainly through acute coronary syndrome (86.9%). CONCLUSION Sports-related sudden cardiac arrest in the young occurs mainly in recreational male sports participants. Public AED use remains disappointingly low, although survival may reach 90% among those who benefit from both bystander CPR and early defibrillation. Coronary artery disease is the most prevalent cause of SrSCA in young adults
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