Requiem pour la schizoïdie ?

La notion de schizoïdie, élaborée il y a une centaine d'années, est agonisante. On en retrace ici brièvement l'histoire, et montre comment certaines des discussions qu'elle a suscitées dans la première moitié du xxe siècle anticipaient plusieurs des débats actuels autour de la schizophrénie. Et si le terme lui-même peut bien disparaître, la conception qu'en avait E. Minkowski, mettant l'accent sur les distorsions de la présence au monde du sujet, devrait contribuer à enrichir notre compréhension de la psychopathologie, trop imprégnée aujourd'hui d'une perspective objectiviste.

Conventions entre les commissaires de France et de Savoye, pour la destruction des digues construites dans le Rhône du côté de Savoye

Ancien possesseur : Argenson, Antoine-René de Voyer (1722-1787 ; marquis de Paulmy d')

Mémoire pour la Chartreuse et forts de Pierre-Châtel en Bugey

Ancien possesseur : Argenson, Antoine-René de Voyer (1722-1787 ; marquis de Paulmy d')

Bilan préopératoire pour la chirurgie cardio-vasculaire en urgence [Preoperative assessment in emergency cardiovascular surgery].

In the emergency situation, preoperative patient work-up for cardio-vascular surgery is quite different from the elective setting. We have analyzed a consecutive series of 5576 cases out of which 823 underwent emergency procedures (14.8%). The most frequent problems requiring emergent intervention were peripheral vascular (186 cases; 22.6% of the emergent procedure), followed by coronary artery disease (156 cases; 19.0%), thoracic aortic aneurysms (86 cases; 10.4%), abdominal aortic aneurysms (54 cases; 6.6%), congenital heart disease (36 cases: 4.4%), heart and heart lung transplantation (31 cases; 3.8%), problems with cardiac rythm (25 cases: 3.0%), and others (267 cases: 32.4%). Classification by proportion of urgent procedures with reference to elective operations shows a different picture. As a matter of fact transplantations were always emergency procedures (100%), whereas repair of aortic dissections type A and B was an emergency procedure in 81.5%. Emergency thoracic and abdominal aortic aneurysm repair accounted for 30% and 20% respectively and the corresponding proportion for peripheral vascular surgery is 19%. However, emergency surgery for acute coronary ischemia, valvular and congenital heart disease accounted for somewhat less than 10% for each group of these pathologies. Systematic pre-operative diagnostic work-up is a recognized tool for procedure related risk assessment and superior management of diseases. However, hemodynamic instability and other time related events correlated with negative outcome, are the main driving forces for accelerated diagnostic pathways

Critères de sélection et d'adaptation d'un instrument de mesure pour la recherche clinique

The goal of this paper is to provide clinicians and researchers, who may not be experts in psychometrics, with a guide for the selection and adaptation of an instrument for clinical research. Issues related to the concept to be measured, the targeted clientele, the selection criteria for the instrument (algorithm), the strategies for translation and adaptation, as well as potential bias related to the administration of an instrument are reviewed and discussed.