11 research outputs found

    Les protestants d’Alsace et la SĂ©paration des Églises et de l’État de 1870 Ă  1940 : Ă©lĂ©ments de contexte

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    Entre 1870 et 1940, des territoires limitrophes de l’Alsace (France, LĂ€nder allemands, cantons suisses) modifient les relations entre les Églises et l’État. Ces changements politiques complĂštent les rĂ©flexions plus thĂ©ologiques et ecclĂ©siastiques, fruits de la pensĂ©e des RĂ©formateurs et de l’histoire. Ils interrogent le rĂŽle de l’État ainsi que la nature et l’organisation des Églises, le mode d’adhĂ©sion des croyants. En 1924, devant l’éventualitĂ© de l’introduction des lois laĂŻques françaises, les protestants d’Alsace se rĂ©fĂšrent Ă  ces situations contemporaines gĂ©ographiquement proches pour les analyser et les comparer. La loi française, jugĂ©e compatible avec la libertĂ© religieuse et le fonctionnement des Églises, est toutefois considĂ©rĂ©e plus contraignante. C’est pourquoi les protestants d’Alsace ne sont pas demandeurs de la SĂ©paration des Églises et de l’État, telle que prĂ©vue par la loi de 1905. Conscients de l’impossibilitĂ© politique d’une autre loi, ils savent que la seule marge de manƓuvre porte sur des propositions d’amĂ©lioration. Pour faire connaĂźtre leur position, distincte de celle des catholiques, les autoritĂ©s luthĂ©riennes et rĂ©formĂ©es parlent d’une seule voix et s’appuient sur les hommes politiques alsaciens protestants. Finalement, Édouard Herriot renonce Ă  son projet et les Églises d’Alsace continuent Ă  fonctionner sous un rĂ©gime de nature concordataire, Ă  l’exception de la pĂ©riode nazie. (Catherine Storne-Sengel).Between 1870 and 1940 the neighbouring territories of Alsace (France, German LĂ€nder, Swiss cantons) all modified their legislations concerning the relations between Church and State. These political changes were actually completing theological and ecclesiastical evolutions directly inspired from he Refrormers’ doctrine and history. They also questioned the role of the State and the nature and organisation of Churches, as well as the way believers subscribed to these creeds. In 1924, confronted with the possible introduction of the French secularisation legislation, the Protestants of Alsace decided to analyse it, comparing it with similar laws in neighbouring territories. The French legislation, altough considered to be congruent with religious liberty and with the normal functioning of Churches, seemed to be more restrictive. As a consequence, the Protestants in Alsace did not subscribe to the separation of Church and State as defined by the 1905 law. Perfectly aware that no alternative legislation was possible, they concluded that the only room for maneuvre consisted in proposing improvements. So as to voice their distinctive opinions -differing from the Catholics’- the authorities of the Lutheran and Reformed Churches decided to act jointly and to trust the Protestant politicians in Alsace. Finally Edpuard Herriot (Prime Minister) abandoned his project, so the Churches of Alsace have kept functioning (except under the Nazi regime) according to a local agreement regime. (trad. Pierre Boulay).Zwischen 1870 und 1940 verĂ€ndern die das Elsass angrenzenden Gebiete (Frankreich, Deutsche LĂ€nder, Schweizer Kantone) die Beziehungen zwischen Kirche und Staat. Diese politischen VerĂ€nderungen ergĂ€nzen die mehr theologischen und kirchlichen Überlegungen, die aus dem Gedankengut der Reformatoren und der Geschichte entstanden sind. Sie hinterfragen die Rolle des Staates, so wie das Wesen und die Organisation der Kirchen, die Art des Bekenntnisses der GlĂ€ubigen. 1924, im Anbetracht der möglichen EinfĂŒhrung der laizistischen französischen Gesetze, beziehen sich die elsĂ€ssischen Protestanten auf zeitgenössische, rĂ€umlich nahe Gegebenheiten, um sie zu analysieren und zu vergleichen. Das französische Gesetz, obwohl als vertrĂ€glich mit religiöser Freiheit und kirchlichem Leben eingeschĂ€tzt, wird als viel einengender betrachtet. Aus diesem Grund erwĂŒnschen sich die elsĂ€ssischen Protestanten nicht die Trennung von Kirche und Staat, so wie sie von dem Gesetz von 1905 vorgesehen ist. Sie wissen, dass es politisch unmöglich sein wird ein anderes Gesetz zu erhalten, und dass es nur einen Spielraum fĂŒr VerbesserungsvorschlĂ€ge gibt. Um ihre Position, die sich von der der Katholiken unterscheidet klar zu machen, sprechen die lutherischen und reformierten Behörden mit einer Stimme und stĂŒtzen sich auf die protestantischen elsĂ€ssischen Politiker. Letztendlich verzichtet Edouard HĂ©riot auf sein Vorhaben und die Kirchen des Elsass können, ausgenommen in der Nazizeit, unter den Bedingungen des Konkordats weiterarbeiten. (trad. René Siegrist)

    Accompagner les changements de pratique dans un projet de réinformatisation

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    « On ne peut prĂ©voir les choses qu'aprĂšs qu'elles sont arrivĂ©es. » EugĂšne Ionesco, RhinocĂ©ros Cette contribution met en exergue des points de vigilance pour aider les chefs de projet qui mĂšneraient des projets de rĂ©informatisation du point de vue de la conduite du changement, en s’appuyant sur la description de l'organisation d'un projet de rĂ©informatisation Ă  Strasbourg. Eu Ă©gard Ă  l'obsolescence du parc de SIGB dans les bibliothĂšques universitaires françaises et Ă  la crĂ©ation des communautĂ©..

    Arterial Embolization in the Management of Mesenteric Bleeding Secondary to Blunt Abdominal Trauma

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    International audienceINTRODUCTION:Mesenteric bleeding is a rare but potentially life-threatening complication of blunt abdominal trauma. It can induce active hemorrhage and a compressive hematoma leading to bowel ischemia. Emergency laparotomy remains the gold standard treatment. We aimed to study the effectiveness and complications of embolization in patients with post-traumatic mesenteric bleeding.MATERIALS AND METHODS:The medical records of 7 consecutive patients with active mesenteric bleeding treated by embolization in a level-one trauma center from 2007 to 2014 were retrospectively reviewed. All patients presented with active mesenteric bleeding on CT scans without major signs of intestinal ischemia. We focused on technical success, clinical success, and the complications of embolization.RESULTS:Six endovascular procedures were successful in controlling hemorrhage but 1 patient had surgery to stop associated arterial and venous bleeding. One patient suffered from bowel ischemia, a major complication of embolization, which was confirmed by surgery. No acute renal failure was noted after angiography. For 1 patient we performed combined management as the endovascular approach allowed an easier surgical exploration.CONCLUSION:In mesenteric trauma with active bleeding, embolization is a valuable alternative to surgery and should be considered, taking into account the risk of bowel ischemia

    Blunt splenic injury: are early adverse events related to trauma, nonoperative management, or surgery?

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    International audiencePURPOSE:We aimed to compare clinical outcomes and early adverse events of operative management (OM), nonoperative management (NOM), and NOM with splenic artery embolization (SAE) in blunt splenic injury (BSI) and identify the prognostic factors.METHODS:Medical records of 136 consecutive patients with BSI admitted to a trauma center from 2005 to 2010 were retrospectively reviewed. Patients were separated into three groups: OM, NOM, and SAE. We focused on associated injuries and early adverse events. Multivariate analysis was performed on 23 prognostic factors to find predictors.RESULTS:The total survival rate was 97.1%, with four deaths all occurred in the OM group. The spleen salvage rate was 91% in NOM and SAE. At least one adverse event was observed in 32.8%, 62%, and 96% of patients in NOM, SAE, and OM groups, respectively (P < 0.001). We found significantly more deaths, infectious complications, pleural drainage, acute renal failures, and pancreatitis in OM and more pseudocysts in SAE. Six prognostic factors were statistically significant for one or more adverse events: simplified acute physiology score 2 ≄25 for almost all adverse events, age ≄50 years for acute respiratory syndrome, limb fracture for secondary bleeding, thoracic injury for pleural drainage, and at least one associated injury for pseudocyst. Adverse events were not related to the type of BSI management.CONCLUSION:Patients with BSI present worse outcome and more adverse events in OM, but this is related to the severity of injury. The main predictor of adverse events remains the severity of injury

    RĂ©informatiser une bibliothĂšque

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    Les bibliothĂšques sont amenĂ©es Ă  acquĂ©rir des logiciels mĂ©tiers variĂ©s ou Ă  en changer selon une pĂ©riodicitĂ© dĂ©finie. Or, les systĂšmes d’information documentaires ont subi de profondes mutations au cours de la derniĂšre dĂ©cennie, parallĂšlement Ă  l’essor de la documentation Ă©lectronique et des nouveaux supports, ainsi qu’aux mutations du Web. De nouveaux besoins, outils et services sont apparus. Cet ouvrage apporte des rĂ©ponses concrĂštes tant aux questions des diverses Ă©tapes d’un projet de rĂ©informatisation Ă  conduire, qu’à celles soulevĂ©es par l’offre logicielle actuelle et Ă  venir
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