45 research outputs found
4. Un partenariat culturel binational Ă la bibliothĂšque nationale et universitaire de Strasbourg
Aux cĂŽtĂ©s de lâĂ©change dâinformations professionnelles et de lâĂ©change de documentation, la dĂ©marche culturelle commune est, actuellement, lâune des formes relativement immĂ©diates, voire Ă©videntes, de la coopĂ©ration internationale des bibliothĂšques. ĂlaborĂ©e et pensĂ©e Ă lâaune de la politique gĂ©nĂ©rale de dĂ©veloppement de lâĂ©tablissement, la dĂ©marche culturelle de la BibliothĂšque nationale et universitaire de Strasbourg (BNU), premiĂšre bibliothĂšque de lâenseignement supĂ©rieur en France, se veu..
Lâimagerie populaire en Alsace
Des mondes de papier. Lâimagerie populaire de Wissembourg. 16 octobre 2010 â 31 janvier 2011. Palais Rohan, Galerie Heitz â Strasbourg. Commissariat : Malou Schneider et Alexandre Tourscher. Alors quâaucune tradition iconographique, Ă lâexception dâune brĂšve tentative Ă la fin du xviiie siĂšcle, ne destinait Wissembourg Ă devenir lâun des principaux centres imagiers dâEurope, câest dans cette ville â sa ville natale â que Jean FrĂ©dĂ©ric Wentzel (1807-1869) installe une entreprise qui se positio..
Politiques de numérisation des documents scientifiques et techniques des bibliothÚques en Allemagne (Les)
Mémoire de fin d\u27étude du diplÎme de conservateur, promotion DCB16, portant sur l\u27élaboration et la réalisation de projets allemands de numérisation
Quel modĂšle de bibliothĂšque ?
Le modĂšle sâessouffle-t-il ? Quel modĂšle ? Faut-il un modĂšle ? De quoi parle-t-on ? VoilĂ quelques-unes des questions que cet ouvrage aborde.
Le « modĂšle de bibliothĂšque publique Ă la française » est Ă la fois une Ă©vidence et un trou noir. Une Ă©vidence indiscutĂ©e qui a structurĂ©, accompagnĂ©, encouragĂ© le dĂ©veloppement rĂ©cent des bibliothĂšques publiques. Un trou noir prĂ©cisĂ©ment parce quâil est une Ă©vidence indiscutĂ©e, en voie de fossilisation, voire de nĂ©crose.
Cet ouvrage collectif rassemble 9 contributions (et une postface) qui interrogent Ă la fois le concept mĂȘme de modĂšle de bibliothĂšque publique, ses composantes, ses contradictions, la place quâil rĂ©serve aux usagers, aux collections ou aux services. Il fait la part belle aux inspirations Ă©trangĂšres de ce modĂšle ou aux comparaisons avec dâautres hĂ©ritages. Loin de rĂ©pondre, il questionne. Et câest trĂšs bien ainsi
Mener un projet international
Internet, construction europĂ©enne, mondialisation⊠: notre horizon ne s'arrĂȘte plus Ă nos frontiĂšres. Du jumelage Ă la coopĂ©ration dĂ©centralisĂ©e, les municipalitĂ©s demandent Ă leurs services de participer Ă des projets Ă dimension internationale. Processus de Bologne, formation tout au long de la vie, internationalisation des Ă©tudes, les universitĂ©s font elles aussi appel Ă leurs services pour les accompagner dans ces Ă©volutions. C'est dans ce contexte que s'inscrit ce volume, avec l'ambition de fournir Ă tous les professionnels des bibliothĂšques des clĂ©s de comprĂ©hension de ces nouveaux enjeux ainsi que des exemples concrets d'actions de coopĂ©ration soutenus par des apports mĂ©thodologiques. Comment travailler et partager avec des partenaires Ă©trangers ? Quelles sont les Ă©tapes fondamentales d'une coopĂ©ration : de la convention Ă l'Ă©valuation ? Qui sont nos relais en France et Ă l'Ă©tranger pour de tels projets ? C'est Ă travers ces questions que s'organise l'ouvrage, en proposant des Ă©lĂ©ments de prĂ©paration pratiques pour mener ces actions internationales et les pĂ©renniser. CoordonnĂ© par RaphaĂ«lle Bats, conservateur chargĂ©e des relations internationales Ă l'enssib, et Ă©crit par diffĂ©rents acteurs du terrain, l'ouvrage traite Ă©galement de la mobilitĂ© des professionnels et des voyages d'Ă©tude, du bibliothĂ©caire-formateur ou expert, d'action culturelle et de politique documentaire (du don des documents Ă l'avenir du patrimoine en Europe en passant par la lecture pour les enfants)
COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study
Background:
The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms.
Methods:
International, prospective observational study of 60â109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms.
Results:
âTypicalâ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (â€â18 years: 69, 48, 23; 85%), older adults (â„â70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each Pâ<â0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country.
Interpretation:
This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men
Omecamtiv mecarbil in chronic heart failure with reduced ejection fraction, GALACTICâHF: baseline characteristics and comparison with contemporary clinical trials
Aims:
The safety and efficacy of the novel selective cardiac myosin activator, omecamtiv mecarbil, in patients with heart failure with reduced ejection fraction (HFrEF) is tested in the Global Approach to Lowering Adverse Cardiac outcomes Through Improving Contractility in Heart Failure (GALACTICâHF) trial. Here we describe the baseline characteristics of participants in GALACTICâHF and how these compare with other contemporary trials.
Methods and Results:
Adults with established HFrEF, New York Heart Association functional class (NYHA)ââ„âII, EF â€35%, elevated natriuretic peptides and either current hospitalization for HF or history of hospitalization/ emergency department visit for HF within a year were randomized to either placebo or omecamtiv mecarbil (pharmacokineticâguided dosing: 25, 37.5 or 50âmg bid). 8256 patients [male (79%), nonâwhite (22%), mean age 65âyears] were enrolled with a mean EF 27%, ischemic etiology in 54%, NYHA II 53% and III/IV 47%, and median NTâproBNP 1971âpg/mL. HF therapies at baseline were among the most effectively employed in contemporary HF trials. GALACTICâHF randomized patients representative of recent HF registries and trials with substantial numbers of patients also having characteristics understudied in previous trials including more from North America (n = 1386), enrolled as inpatients (n = 2084), systolic blood pressureâ<â100âmmHg (n = 1127), estimated glomerular filtration rate <â30âmL/min/1.73 m2 (n = 528), and treated with sacubitrilâvalsartan at baseline (n = 1594).
Conclusions:
GALACTICâHF enrolled a wellâtreated, highârisk population from both inpatient and outpatient settings, which will provide a definitive evaluation of the efficacy and safety of this novel therapy, as well as informing its potential future implementation