129 research outputs found

    NLD and BPPD: Rules for classification and a comparison of psychosocial subtypes.

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    There were two goals of the present study: (1) to revise and improve rules for classification of two learning disability subtypes, namely Basic Phonological Processing Disorder (BPPD) and Nonverbal Learning Disabilities (NLD); and (2) to validate those rules for classification by differentiating children classified as BPPD and NLD through comparisons of their psychosocial functioning. The first goal of the study was addressed using a sample of 207 clinic-referred children with a learning disability. The rules for classification of BPPD and NLD were refined and changes made in order to improve the utility of the rules and render them easier to use. Subsequently, the second goal was met when the revised rules for classification were applied to a new sample of 617 clinic-referred children with a learning disability, forming two groups whose differing patterns of psychosocial functioning on two separate measures were used to provide validation for the rules for classification. Additional information was also obtained with regard to the patterns of psychosocial functioning characteristic of these two groups. For BPPD, that pattern was consistent with a normal degree of psychosocial adjustment. Psychosocial dysfunction was of low severity, when present. The BPPD group also demonstrated a trend towards an increasing incidence of somatic concerns with advancing age. For the NLD group, the characteristic pattern of psychosocial functioning was suggestive of internalized psychopathology with a severe degree of dysfunction, when present. The NLD group also demonstrated an increasing incidence of severe and internalized forms of psychosocial dysfunction with age. These findings confirm the idea that an individual\u27s psychosocial functioning is tied to his or her particular pattern of neuropsychological assets and deficits, which allows predictions to be made for these two learning disability subtypes. The implications of the findings of this study are discussed, as are limitations and suggestions for future research.Dept. of Psychology. Paper copy at Leddy Library: Theses & Major Papers - Basement, West Bldg. / Call Number: Thesis1999 .P45. Source: Dissertation Abstracts International, Volume: 61-09, Section: B, page: 5030. Adviser: Byron P. Rourke. Thesis (Ph.D.)--University of Windsor (Canada), 2000

    Les cartes dans la communication internationale sous le Consulat et l’Empire

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    Les cartes sont faciles d’accĂšs et gĂ©nĂ©ralement comprĂ©hensibles par celui qui ne pratique pas la langue du pays concernĂ©. En France, les exigences du Premier consul et de l’Empereur donnent aux ingĂ©nieurs du DĂ©pĂŽt de la Guerre des missions difficiles, matĂ©rialisĂ©es par la carte d’Europe, dite carte de l’Empereur, qui comprend en 1809, 420 feuilles au 1/100 000, soumises Ă  de nombreuses manipulations. En 1810, NapolĂ©on demande la production d’un second exemplaire pour prĂ©venir les accidents survenus au cours de son utilisation. La campagne de Russie sonne le glas des collections que l’Empereur et son État-Major ont fait voyager.Les armĂ©es, devenues trĂšs mobiles, demandent des cartes en nombre, Ă  moyenne Ă©chelle que seule la gravure permet d’obtenir. Louis Guislain Bacler d’Albe (1761-1824), inquiet pour l’avenir de ces documents maltraitĂ©s par les armĂ©es napolĂ©oniennes, a pu Ă©crire : « Ce diable de service de campagne est le destructeur des cartes. Il en faut dans le sac de l’aide de camp, il en faut sur la poitrine de l’écuyer de service, qu’on ploie, qu’on dĂ©ploie, qu’on dĂ©chire, qu’on met Ă  la pluie, au vent, au feu, Ă  la chandelle, etc. » En outre, les cartes de France, que la RĂ©volution a perçues comme parties du trĂ©sor national, indispensables Ă  la dĂ©fense du territoire, sont dĂ©sormais mises sous surveillance alors que les militaires, dans leurs conquĂȘtes, s’efforcent d’obtenir les cuivres des pays envahis quel que soit leur possesseur.C’est au moment de Marengo (15 juin 1800) que se marque la transition vers une politique de lĂ©gitimation par la gloire et qu’est cĂ©lĂ©brĂ© l’hĂ©roĂŻsme militaire par les cartes et les vues de bataille auxquelles contribuent ingĂ©nieurs militaires et peintres sous l’Ɠil critique de NapolĂ©on

    Quelle Europe pour les cartographes des XVIe et XVIIe siÚcles ?

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    Les cartes d’Europe gravĂ©es aux XVIe et XVIIe siĂšcles s’insĂšrent dans une gĂ©ographie exprimĂ©e aussi par des textes et des images – vues et plans de villes, costumes portĂ©s par les habitants –, qui les complĂštent utilement. Elles sont d’abord destinĂ©es aux amateurs d’histoire, soucieux de localiser les Ă©vĂ©nements qu’ils Ă©tudient. Elles intĂ©ressent aussi celui qui admire les merveilles de la CrĂ©ation et le marchand dĂ©sireux d’étendre ses activitĂ©s commerciales en Europe et mĂȘme au-delĂ . Elles se dĂ©veloppent grĂące au soutien des pouvoirs Ă©conomique et politique parce qu’elles procurent d’utiles informations. Leurs qualitĂ©s gĂ©ographique et esthĂ©tique progressent, mais, lorsqu’elles se stabilisent, les cartes ont tendance Ă  se figer dans des Ă©ditions que seule la date d’impression permet de distinguer. MalgrĂ© ce dĂ©faut, les textes et les illustrations qui les accompagnent restent de bons indicateurs de la perception de l’Europe par les hommes des XVIe et XVIIe siĂšcles.The engraved Europe maps of 16th and 17th centuries were part of the geography also expressed by texts and images – views and maps of cities, inhabitant clothes –, which were useful complements. They were mainly intended for history readers anxious to locate studied events. They were also used by those admiring the marvels of the created world and by tradesmen willing to expand their activities in and beyond Europe. They were supported by economic and political powers because they were providing useful information. Their geographic and aesthetic qualities were improving, but maps finished up stabilizing, always offering the same data in editions which only differed by imprint dates. In spite of this failing, the accompanying texts and illustrations were remaining good guides on Europe perception by people living in the 16th and 17th centuries

    Le monde sans l'Amérique

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    Ces deux figurations du monde: le globe de Martin Behaim, et une carte nautique dite «de Christophe Colomb», datent de l'annĂ©e mĂȘme de la dĂ©couverte de l'AmĂ©rique

    Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

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    Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≄ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe
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