Le rappel stimulé pour élucider les décisions en action des étudiantes en services de garde

Cet article porte sur l'utilisation du rappel stimulé pour comprendre la pensée en action d'étudiantes du collégial. Il présente brièvement la problématique de la recherche ainsi que la méthodologie qui a donné lieu à la cueillette de douze rappels stimulés effectuée durant une même année scolaire, auprès de six étudiantes en techniques d'éducation en services de garde. Suivent la présentation des données recueillies, les limites observées ainsi que le rôle du chercheur. L'article aborde enfin la question de la valeur pédagogique de la rétroaction vidéo.This article describes the use of stimulated recall as a way to access students' thinking processes. The authors present the research question, the conceptual frame, and the methodology which was used to obtain twelve stimulated recalls from six students following a course in child care education techniques. Following a description of the data collected and the limits of the research, including the researcher's role, the author discusses the pedagogical value of video retrospection.En este articulo se examina el uso de la rememoracion estimulada como medio de acceso al pensamiento activo de los estudiantes. Se présenta brevemente la problemâtica y el marco teôrico de la investigation asi como la metodologia utilizada para capturar, durante un solo ano académico, doce rememoraciones estimuladas provenientes de seis estudiantes deTécnicas educativas en guarderfas. Después de presentar los datos recabados, se discuten los limites observados y el papel del investigador. El articulo termina discutiendo el valor pedagogico de la retroacciôn video.Dieser Artikel befafit sich mit dem Mittel der stimulierten Erinnerung, mit welchem Zugang zum handelnden Denken bei Schulerinnen geschafft wird. Nach einer Darlegung der Fragestellung und des theoretischen Rahmens der Forschungsarbeit wird die Méthode beschrieben, mit der wâhrend eines selben Schuljahrs zwôlf stimulierte Erinnerungen von sechs Schulerinnen des Lehrgangs "Methoden der Kleinkindererziehung" eingeholt wurden. Anschliefiend werden die gesammelten Daten vorgelegt und die beobachteten Grenzen und die Rolle des Forschers diskutiert. AbschliefSend wird der pâdagogische Wert des Video- Feedbacks erwogen

Équivalences pénales et solutions de rechange à l’emprisonnement : la métrique pénale implicite des tribunaux criminels

Sentencing research has generally neglected taking into account how perceptions of the severity of available sanctions affect sentencing behavior. Based on the magnitude estimates of just how severe penalties of different kinds and different amounts criminal courts perceive them to be, this paper identifies the current exchange rates on what Wilkins has called the “punishment market” explains why so many alternatives to imprisonment experiments have backfired, offers a justification for the existing penal repertoire and finds criminal court's severity scales to be socially well grounded

Impact de la pression artérielle et influence de l’insuffisance cardiaque systolique sur le contrôle de la fibrillation auriculaire et la survie

La pression artérielle est un déterminant potentiellement majeur de l’évolution de pathologies telles que la FA et l’insuffisance cardiaque. Pourtant, il demeure plusieurs incertitudes quant à la prise en charge optimale de la pression artérielle chez ces patients. Le rôle potentiel de la pression artérielle sur l’efficacité du maintien en rythme sinusal est inconnu. De plus, en présence d’insuffisance cardiaque, non seulement une pression artérielle élevée, mais aussi une pression artérielle basse pourrait augmenter la mortalité. Les travaux présentés ont pour but d’évaluer l’impact de la pression artérielle sur l’efficacité du contrôle du rythme et la mortalité ainsi que d’évaluer le rôle potentiel de l’insuffisance cardiaque sur cette interaction. Une étude post-hoc utilisant une banque de données combinant les études AFFIRM et AF-CHF a été réalisée. Les patients ont d’abord été classés selon leur FEVG (>40%, ≤40%), puis nous avons évalué l’impact de la PAS (140 mmHg) sur les issues. Premièrement, chez les 2715 patients randomisés au contrôle du rythme, nous avons évalué la survie sans récidive de FA. Deuxièmement, chez tous les 5436 patients inclus dans les 2 études sources, nous avons évalué la mortalité et la morbidité. Chez les patients avec FEVG >40%, aucune des issues n’a été affectée par la PAS dans des analyses de régression multivariées de Cox. Par contraste, chez les patients avec FEVG ≤40%, le taux de récidive de FA était plus élevé avec une PAS >140 mmHg et une PAS 140 mmHg et une PAS <120 mmHg [HR 1.75; IC 95% (1.41-2.17)] et [HR 1.40; IC 95% (1.04-1.90)], respectivement. En conclusion, le maintien en rythme sinusal et la survie sont influencés par la PAS chez les patients avec FA et FEVG diminuée, mais non chez les patients avec FEVG normale. Une courbe en forme de U a été identifiée, où les pression plus basses (140 mmHg) sont associées à un moins bon pronostic.Blood pressure may have a major impact on the evolution of AF and heart failure; nonetheless optimal management of blood pressure in these patients remains uncertain. Sinus rhythm maintenance has only moderate efficacy in abrogating AF and the potential role of blood pressure and its impact on risks of arrhythmia recurrence are unknown. Moreover, in patients with heart failure, blood pressure may affect prognosis in a non-linear fashion, where high blood pressure and also low blood pressure may increase mortality. The aim of this research was to evaluate the impact of blood pressure on the efficacy of sinus rhyhtm maintenance and mortality in patients with AF and to assess the potential role of ejection fraction and heart failure on this interaction. We conducted a post hoc combined analysis on pooled data from AFFIRM and AF-CHF trials. Patients were first classified according to LVEF (>40%, ≤40%) and we then assessed the impact of a baseline SBP (140 mmHg) on outcomes. Firstly, in a total of 2715 patients randomized to rhythm control, 68±8 years and followed for 41±17 months, we assessed time to first AF recurrence according to SBP. Secondly, in all 5436 patients from both source studies, we assessed mortality according to SBP. In patients with LVEF >40%, baseline SBP did not influence any of the outcomes in multivariate Cox regression analyses. In contrast, in patients with LVEF ≤40%, the AF recurrence rate was higher in those with a SBP 140 mmHg compared to SBP 120-140 mmHg [HR 1.15; 95% CI (0.92-1.43)] and [HR, 1.47; 95% CI (1.12-1.93)], respectively. Mortality was also modulated by blood pressure in patients with LVEF ≤40% : SBP 140 mmHg were both associated with increased death rate compared to SBP 120-140 mmHg [HR 1.75; 95% CI (1.41 to 2.17)] and [HR 1.40; 95% CI (1.04 to 1.90)], respectively. In conclusion, AF recurrence and mortality are influenced by SBP in patients with AF and depressed ejection fraction but not in patients with normal ejection fraction. A “U-shaped” pattern was identified where lower (140 mmHg) SBP lead to worse outcomes

Une nouvelle avenue vers l'optimalisation de l'enseignement et des compétences

Titre de l'écran-titre (visionné le 17 déc. 2008).Également disponible en format papier.Bibliogr

Le syndrome de l'X fragile : Une protéine absente et 1001 ARNm déboussolés

Le syndrome du X fragile, première cause de retard mental héréditaire, est une maladie monogénique liée au chromosome X. Le syndrome est causé par l’inactivation du gène Fragile Mental Retardation 1(FMR1) entraînant l’absence de la protéine FMRP dont le rôle présumé est de coordonner le devenir et la traduction d’un grand nombre d’ARNm. Toutefois, s’il est actuellement admis que FMRP se comporte comme un répresseur de la traduction dans certaines conditions expérimentales, et malgré les nombreuses publications sur le sujet, nous devons nous rendre à l’évidence que les fonctions réelles de FMRP sont encore mal connues. De plus, l’existence de deux protéines FXR1P et FXR2P, homologues à FMRP, suggère que la fonction de FMRP est bien plus complexe que celle imaginée à l’origine. Nous limitons les propos de cet article à l’état actuel des connaissances concernant le rôle de FMRP dans l’adressage des ARNm, ainsi qu’aux conséquences possibles de l’absence de FMRP sur le transport et la traduction des ARNm dans les cellules pourvues d’arborescences et de prolongements que sont les neurones.Fragile X syndrome is the most common form of inherited mental retardation. This X-linked disease is due to transcriptional silencing of the Fragile Mental Retardation 1 (FMR1) gene and the absence of its gene product, FMRP. This protein is an RNA-binding protein present in mRNP complexes associated with the translation machinery and is thought to be a key player in the control of mRNA transport in neurons. However, the exact role of FMRP in translation remains unclear. Two homologous proteins, FXR1P and FXR2P, are also found in RNP complexes containing FMRP, suggesting that FMRP’s functions are much more complex than first thought. The molecular mechanisms altered in cells lacking FMRP still remain to be elucidated, as well as the putative roles of FXR1P and FXR2P as compensatory molecules. Here, we review the various possible functions of FMRP in RNA localization and transport in highly differentiated cells containing dendritic extensions such as neurons

Higher Order Quantum Superintegrability: a new "Painlev\'e conjecture"

We review recent results on superintegrable quantum systems in a two-dimensional Euclidean space with the following properties. They are integrable because they allow the separation of variables in Cartesian coordinates and hence allow a specific integral of motion that is a second order polynomial in the momenta. Moreover, they are superintegrable because they allow an additional integral of order $N>2$. Two types of such superintegrable potentials exist. The first type consists of "standard potentials" that satisfy linear differential equations. The second type consists of "exotic potentials" that satisfy nonlinear equations. For $N= 3$, 4 and 5 these equations have the Painlev\'e property. We conjecture that this is true for all $N\geq3$. The two integrals X and Y commute with the Hamiltonian, but not with each other. Together they generate a polynomial algebra (for any $N$) of integrals of motion. We show how this algebra can be used to calculate the energy spectrum and the wave functions.Comment: 23 pages, submitted as a contribution to the monographic volume "Integrability, Supersymmetry and Coherent States", a volume in honour of Professor V\'eronique Hussin. arXiv admin note: text overlap with arXiv:1703.0975

Brain Serotonin Synthesis in Adult Males Characterized by Physical Aggression during Childhood: A 21-Year Longitudinal Study

Adults exhibiting severe impulsive and aggressive behaviors have multiple indices of low serotonin (5-HT) neurotransmission. It remains unclear though whether low 5-HT mediates the behavior or instead reflects a pre-existing vulnerability trait.C-AMT bilaterally in the orbitofrontal cortex and self-reported more impulsiveness. Despite this, in adulthood there were no group differences in plasma tryptophan levels, genotyping, aggression, emotional intelligence, working memory, computerized measures of impulsivity, psychosocial functioning/adjustment, and personal and family history of mood and substance abuse disorders.These results force a re-examination of the low 5-HT hypothesis as central in the biology of violence. They suggest that low 5-HT does not mediate current behavior and should be considered a vulnerability factor for impulsive-aggressive behavior that may or may not be expressed depending on other biological factors, experience, and environmental support during development

Genome wide SNP comparative analysis between EGFR and KRAS mutated NSCLC and characterization of two models of oncogenic cooperation in non-small cell lung carcinoma

<p>Abstract</p> <p>Background</p> <p>Lung cancer with EGFR mutation was shown to be a specific clinical entity. In order to better understand the biology behind this disease we used a genome wide characterization of loss of heterozygosity and amplification by Single Nucleotide Polymorphism (SNP) Array analysis to point out chromosome segments linked to <it>EGFR </it>mutations. To do so, we compared genetic profiles between <it>EGFR </it>mutated adenocarcinomas (ADC) and <it>KRAS </it>mutated ADC from 24 women with localized lung cancer.</p> <p>Results</p> <p>Patterns of alterations were different between <it>EGFR </it>and <it>KRAS </it>mutated tumors and specific chromosomes alterations were linked to the <it>EGFR </it>mutated group. Indeed chromosome regions 14q21.3 (p = 0.027), 7p21.3-p21.2 (p = 0.032), 7p21.3 (p = 0.042) and 7p21.2-7p15.3 (p = 0.043) were found significantly amplified in EGFR mutated tumors. Within those regions 3 genes are of special interest <it>ITGB8</it>, <it>HDAC9 </it>and <it>TWIST1</it>. Moreover, homozygous deletions at <it>CDKN2A </it>and LOH at <it>RB1 </it>were identified in <it>EGFR </it>mutated tumors. We therefore tested the existence of a link between EGFR mutation, CDKN2A homozygous deletion and cyclin amplification in a larger series of tumors. Indeed, in a series of non-small-cell lung carcinoma (n = 98) we showed that homozygous deletions at <it>CDKN2A </it>were linked to <it>EGFR </it>mutations and absence of smoking whereas cyclin amplifications (<it>CCNE1 </it>and <it>CCND1</it>) were associated to <it>TP53 </it>mutations and smoking habit.</p> <p>Conclusion</p> <p>All together, our results show that genome wide patterns of alteration differ between <it>EGFR </it>and <it>KRAS </it>mutated lung ADC, describe two models of oncogenic cooperation involving either <it>EGFR </it>mutation and <it>CDKN2A </it>deletion or cyclin amplification and <it>TP53 </it>inactivating mutations and identified new chromosome regions at 7p and 14q associated to EGFR mutations in lung cancer.</p

Genomic Ancestry of North Africans Supports Back-to-Africa Migrations

North African populations are distinct from sub-Saharan Africans based on cultural, linguistic, and phenotypic attributes; however, the time and the extent of genetic divergence between populations north and south of the Sahara remain poorly understood. Here, we interrogate the multilayered history of North Africa by characterizing the effect of hypothesized migrations from the Near East, Europe, and sub-Saharan Africa on current genetic diversity. We present dense, genome-wide SNP genotyping array data (730,000 sites) from seven North African populations, spanning from Egypt to Morocco, and one Spanish population. We identify a gradient of likely autochthonous Maghrebi ancestry that increases from east to west across northern Africa; this ancestry is likely derived from “back-to-Africa” gene flow more than 12,000 years ago (ya), prior to the Holocene. The indigenous North African ancestry is more frequent in populations with historical Berber ethnicity. In most North African populations we also see substantial shared ancestry with the Near East, and to a lesser extent sub-Saharan Africa and Europe. To estimate the time of migration from sub-Saharan populations into North Africa, we implement a maximum likelihood dating method based on the distribution of migrant tracts. In order to first identify migrant tracts, we assign local ancestry to haplotypes using a novel, principal component-based analysis of three ancestral populations. We estimate that a migration of western African origin into Morocco began about 40 generations ago (approximately 1,200 ya); a migration of individuals with Nilotic ancestry into Egypt occurred about 25 generations ago (approximately 750 ya). Our genomic data reveal an extraordinarily complex history of migrations, involving at least five ancestral populations, into North Africa

withdrawn 2017 hrs ehra ecas aphrs solaece expert consensus statement on catheter and surgical ablation of atrial fibrillation

n/