218 research outputs found
Jean Cocteau, Pablo Picasso, Léonide Massine et Erik Satie : Parade, 1917, et les avant-gardes
Les technologies des différentes révolutions industrielles ont radicalement transformé le monde quotidien et la sensibilité occidentale ; elles ont permis de profonds renouvellements après une période d’usure. À un moment de rupture particulièrement forte, celui de la seconde révolution industrielle, Cocteau, Satie, Picasso, Massine se sont réunis pour former une constellation artistique le temps d’un spectacle remarquable : Parade (1917). Plus spécifiquement, cet article aborde Parade comme un cas particulièrement riche de mutation des sensibilités et de convergence des différentes tendances artistiques et culturelles de fond qui a permis l’émergence esthétique du bruit.Technologies and industrial revolutions have radically transformed the world and, as a result, Western sensitivity. In this particular moment of the second industrial revolution of 1900, Cocteau, Satie, Picasso and Massine joined their efforts to create a remarkable show: Parade (1917). More specifically, this paper presents Parade as a rich case of artistic mutations and of convergence of tendencies that have allowed an emergence of noise as an aesthetically acceptable resource
PDB24 DIRECT HEALTHCARE AND INDIRECT WORKLOSS COSTS ASSOCIATED WITH THE ADDITION OF ROSIGLITAZONE (RSG) VERSUS SITAGLIPTIN (STG) THERAPY TO METFORMIN (MET)
Priority interventions to improve the management of chronic non-cancer pain in primary care: a participatory research of the ACCORD program
Purpose: There is evidence that the management of chronic non-cancer pain (CNCP) in primary care is far from being optimal. A 1-day workshop was held to explore the perceptions of key actors regarding the challenges and priority interventions to improve CNCP management in primary care.
Methods: Using the Chronic Care Model as a conceptual framework, physicians (n=6), pharmacists (n=6), nurses (n=6), physiotherapists (n=6), psychologists (n=6), pain specialists (n=6), patients (n=3), family members (n=3), decision makers and managers (n=4), and pain researchers (n=7) took part in seven focus groups and five nominal groups.
Results: Challenges identified in focus group discussions were related to five dimensions: knowledge gap, “work in silos”, lack of awareness that CNCP represents an important clinical problem, difficulties in access to health professionals and services, and patient empowerment needs. Based on the nominal group discussions, the following priority interventions were identified: interdisciplinary continuing education, interdisciplinary treatment approach, regional expert leadership, creation and definition of care paths, and patient education programs.
Conclusion: Barriers to optimal management of CNCP in primary care are numerous. Improving its management cannot be envisioned without considering multifaceted interventions targeting several dimensions of the Chronic Care Model and focusing on both clinicians and patients
BioéthiqueOnline : Moving to Peer-Review = BioéthiqueOnline : Passage à l’évaluation par les pairs
Éditoral / Editoria
Experts Consensus Recommendations for the Management of Calcium Channel Blocker Poisoning in Adults
Objective: To provide a management approach for adults with calcium channel blocker poisoning. Data Sources, Study Selection, and Data Extraction: Following the Appraisal of Guidelines for Research & Evaluation II instrument, initial voting statements were constructed based on summaries outlining the evidence, risks, and benefits. Data Synthesis: We recommend 1) for asymptomatic patients, observation and consideration of decontamination following a potentially toxic calcium channel blocker ingestion (1D); 2) as first-line therapies (prioritized based on desired effect), IV calcium (1D), high-dose insulin therapy (1D-2D), and norepinephrine and/or epinephrine (1D). We also suggest dobutamine or epinephrine in the presence of cardiogenic shock (2D) and atropine in the presence of symptomatic bradycardia or conduction disturbance (2D); 3) in patients refractory to the first-line treatments, we suggest incremental doses of high-dose insulin therapy if myocardial dysfunction is present (2D), IV lipid-emulsion therapy (2D), and using a pacemaker in the presence of unstable bradycardia or high-grade arteriovenous block without significant alteration in cardiac inotropism (2D); 4) in patients with refractory shock or who are periarrest, we recommend incremental doses of high-dose insulin (1D) and IV lipid-emulsion therapy (1D) if not already tried. We suggest venoarterial extracorporeal membrane oxygenation, if available, when refractory shock has a significant cardiogenic component (2D), and using pacemaker in the presence of unstable bradycardia or high-grade arteriovenous block in the absence of myocardial dysfunction (2D) if not already tried; 5) in patients with cardiac arrest, we recommend IV calcium in addition to the standard advanced cardiac life-support (1D), lipid-emulsion therapy (1D), and we suggest venoarterial extracorporeal membrane oxygenation if available (2D). Conclusion: We offer recommendations for the stepwise management of calcium channel blocker toxicity. For all interventions, the level of evidence was very low
Transport Properties of Stripe-Ordered High Tc Cuprates
Transport measurements provide important characterizations of the nature of
stripe order in the cuprates. Initial studies of systems such as
La(1.6-x)Nd(0.4)Sr(x)CuO(4) demonstrated the strong anisotropy between in-plane
and c-axis resistivities, but also suggested that stripe order results in a
tendency towards insulating behavior within the planes at low temperature. More
recent work on La(2-x)Ba(x)CuO(4) with x=1/8 has revealed the occurrence of
quasi-two-dimensional superconductivity that onsets with spin-stripe order. The
suppression of three-dimensional superconductivity indicates a frustration of
the interlayer Josephson coupling, motivating a proposal that superconductivity
and stripe order are intertwined in a pair-density-wave state. Complementary
characterizations of the low-energy states near the Fermi level are provided by
measurements of the Hall and Nernst effects, each revealing intriguing
signatures of stripe correlations and ordering. We review and discuss this
work.Comment: 12 pages, 13 figures, brief revie
Global patterns of terrestrial assemblage turnover within and among land uses
Land use has large effects on the diversity of ecological assemblages. Differences among land uses in the diversity of local assemblages (alpha diversity) have been quantified at a global scale. Effects on the turnover of species composition between locations (beta diversity) are less clear, with previous studies focusing on particular regions or groups of species. Using a global database on the composition of ecological assemblages in different land uses, we test for differences in the between–site turnover of species composition, within and among land–use types. Overall, we show a strong impact of land use on assemblage composition. While we find that compositional turnover within land uses does not differ strongly among land uses, human land uses and secondary vegetation in an early stage of recovery are poor at retaining the species that characterise primary vegetation. The dissimilarity of assemblages in human–impacted habitats compared with primary vegetation was more pronounced in the tropical than temperate realm. An exploratory analysis suggests that this geographic difference might be caused primarily by differences in climate seasonality and in the numbers of species sampled. Taken together the results suggest that, while small–scale beta diversity within land uses is not strongly impacted by land–use type, compositional turnover between land uses is substantial. Therefore, land–use change will lead to profound changes in the structure of ecological assemblages
Functional diversity measures revealed impacts of non-native species and habitat degradation on species-poor freshwater fish assemblages
International audienceTrail-based ecology has been developed for decades lo infer ecosystem responses to stressors based on the functional structure of communities, yet its value in species-poor systems is largely unknown. Here, we used an extensive clataset in a Spanish region highly prone to non-native fish invasions (15 catchments, N 389 sites) to assess for the first time how species-poor communities respond to large-scale environmental gradients using a taxonomic and functional trait-based approach in riverine fish. We examined total species richness and three functional trait-based indices available when many sites have \textless= 3 species (specialization, FSpe; onginaliy, FOri and entropy, FEnt). We assessed the responses of these taxonomic and functional indices along gradients of altitude, water pollution, physical habitat degradation and non-native fish biomass. Whilst species richness was relatively sensitive to spatial effects, functional diversity indices were responsive across natural and anthropogenic gradients. All four diversity measures declined with altitude but this decline was modulated by physical habitat degradation (richness, FSpe and FEnt) and the non-native total fish biomass ratio (FSpe and FOri) in ways that varied between indices. Furthermore, FSpe and FOri were significantly correlated with Total Nitrogen. Non-native fish were a major component of the taxonomic and functional structure of fish communities, raising concerns about potential misdiagnosis between invaded and environmentally-degraded river reaches. Such misdiagnosis was evident in a regional fish index widely used in official monitoring programs. We recommend the application of FSpe and FOri to extensive clatasets from monitoring programs in order to generate valuable cross-system information about the impacts of non-native species and habitat degradation, even in species-poor systems. Scoring non-native species apart from habitat degradation in the indices used to determine ecosystem health is essential to develop better management strategies. (C) 2013 Elsevier B.V. All rights reserved
The Effects of Restoring Logged Tropical Forests on Avian Phylogenetic and Functional Diversity.
Selective logging is the most prevalent land-use change in the tropics. Despite the resulting degradation of forest structure, selectively logged forests still harbour a substantial amount of biodiversity leading to suggestions that their protection is the next best alternative to conserving primary, old-growth forests. Restoring carbon stocks under Reducing Emissions from Deforestation and Forest Degradation (REDD+) schemes is a potential method for obtaining funding to protect logged forests, via enrichment planting and liberation cutting of vines. This study investigates the impacts of restoring logged forests in Borneo on avian phylogenetic diversity-the total evolutionary history shared across all species within a community-and on functional diversity, with important implications for the protection of evolutionarily unique species and the provision of many ecosystem services. Overall and understorey avifaunal communities were studied using point count and mist-netting surveys, respectively. Restoration caused a significant loss in phylogenetic diversity and MPD (mean pairwise distance) leaving an overall bird community of less total evolutionary history and more closely related species compared to unlogged forests, while the understorey bird community had MNTD (mean nearest taxon distance) that returned towards the lower levels found in a primary forest, indicating more closely related species pairs. The overall bird community experienced a significant loss of functional strategies and species with more specialized traits in restored forests compared to that of unlogged forests, which led to functional clustering in the community. Restoration also led to a reduction in functional richness and thus niches occupied in the understorey bird community compared to unlogged forests. While there are additional benefits of restoration for forest regeneration, carbon sequestration, future timber harvests, and potentially reduced threat of forest conversion, this must be weighed against the apparent loss of phylogenetic and functional diversity from unlogged forest levels, making the biodiversity-friendliness of carbon sequestration schemes questionable under future REDD+ agreements. To reduce perverse biodiversity outcomes, it is important to focus restoration only on the most degraded areas or at reduced intensity where breaks between regimes are incorporated. This article is protected by copyright. All rights reserved
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