La voix-over du Roman d'un tricheur et sa postérité dans Providence. A propos de la résurgence de pratiques "bonimentorielles".

Partant de la réception internationale du film Le Roman d'un tricheur de Sacha Guitry dans laquelle la voix du cinéaste est fréquemment rapprochée de celle du "bonimenteur" de l'époque muette, cette étude examine les particularités de ce film en termes de positionnement du narrateur over par rapport aux images et par rapport au spectateur. Une filiation est posée entre ce film et Providence de Resnais au niveau des manifestations de l'oralité: là aussi, le narrateur occupe la place d'instigateur du monde filmique et de spectateur des images qu'il commente.

Attaques cérébrovasculaires ischémiques multiples dues à une méningovasculite à Borrelia garinii. [Multiple ischemic strokes due to Borrelia garinii meningovasculitis].

The most frequent clinical manifestation of borreliosis in Switzerland is erythema migrans, with about 2500 patients each year. Neurological manifestations are rare, mostly hyperalgesic radiculitis (Bannwarth syndrome), aseptic meningitis or cranial nerve involvement. We report the first Swiss patient with meningovasculitis due to neuroborreliosis, with recurrent multiple ischemic strokes in multiple vascular territories. The treatment with ceftriaxone stopped the progression, but the patient is still suffering from severe invalidating cognitive disorders. We also comment on the pathophysiology and review the literature of other clinical cases.

Characteristics of infections associated with external ventricular drains of cerebrospinal fluid.

OBJECTIVES: Manifestations of external ventricular drain (EVD) - associated infections overlap with those of the underlying neurosurgical conditions. We analyzed characteristics of EVD-associated infections. METHODS: We included patients aged ≥18 years with EVD-associated infections from 1997 to 2008, using modified CDC criteria for nosocomial infections. Hospital charts were reviewed retrospectively and the in-hospital outcome was evaluated. RESULTS: Forty-eight patients with EVD-associated infections were included (median age, 52 years, range 20-74 years). The median EVD-indwelling time was 7 days (range, 1-39 days) and EVD-associated infection occurred 6 days after insertion (range, 1-17 days). In 23% of patients, meningitis occurred 1-10 days after EVD removal. Fever >38 °C was present in 79% of patients, but Glasgow Coma Scale (GCS) scores were reduced in only 29%, and headache, vomiting and/or neck stiffness were present in only 31%. The median cerebrospinal fluid (CSF) leukocyte count was higher at onset of EVD-associated infection than at EVD insertion (175 × 10(6)/l versus 46 × 10(6)/l, p = 0.021), but other CSF parameters did not differ significantly. The most commonly implicated organisms were coagulase-negative staphylococci (63%) and Propionibacterium acnes (15%). CONCLUSIONS: Fever and increased CSF leukocytes should raise the suspicion of EVD-associated infection, which may occur up to 10 days after removal of EVD.

Perry Syndrome

Disease characteristics. Perry syndrome is characterized by parkinsonism, hypoventilation, depression, and weight loss. The mean age at onset is 48 years; the mean disease duration is five years. Parkinsonism and psychiatric changes (depression, apathy, character changes, and withdrawal) tend to occur early; severe weight loss and hypoventilation manifest later. Diagnosis/testing. The diagnosis is based on clinical findings and molecular genetic testing of DCTN1, the only gene known to be associated with Perry syndrome. Management. Treatment of manifestations: Dopaminergic therapy (particularly levodopa/carbidopa) should be considered in all individuals with significant parkinsonism. Although response to levodopa is often poor, some individuals may have long-term benefit. Noninvasive or invasive ventilation support may improve quality of life and prolong life expectancy. Those patients with psychiatric manifestations may benefit from antidepressants and psychiatric care. Weight loss is managed with appropriate dietary changes. Surveillance: routine evaluation of weight and calorie intake, respiratory function (particularly at night or during sleep), strength; and mood. Agents/circumstances to avoid: Central respiratory depressants (e.g., benzodiazepines, alcohol). Genetic counseling. Perry syndrome is inherited in an autosomal dominant manner. The proportion of cases attributed to de novo mutations is unknown. Each child of an individual with Perry syndrome has a 50% chance of inheriting the mutation. No laboratories offering molecular genetic testing for prenatal diagnosis are listed in the GeneTests Laboratory Directory; however, prenatal testing may be available through laboratories offering custom prenatal testing for families in which the disease-causing mutation has been identified.

Le mouvement d'indépendance en Syrie, à Damas la foule manifeste dans les rues : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 60356

Pétrograd, dans les rues, bannière portant cette inscription : [illisible] règne des travailleurs et des [illisible] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 60446

[Procession dans un village normand] : [photographie] / Louis-Alphonse de Brebisson

Référence bibliographique : cat. 177

An analysis of Ibn al-'Arabi's al-Insan al-Kamil, the Perfect Individual, with a brief comparison to the thought of Sir Muhammad Iqbal

This thesis analyzes four philosophical questions surrounding Ibn al-'Arabi's concept of the al-iman al-kamil, the Perfect Individual. The Introduction provides a definition of Sufism, and it situates Ibn al-'Arabi's thought within the broader context of the philosophy of perfection. Chapter One discusses the transformative knowledge of the Perfect Individual. It analyzes the relationship between reason, revelation, and intuition, and the different roles they play within Islam, Islamic philosophy, and Sufism. Chapter Two discusses the ontological and metaphysical importance of the Perfect Individual, exploring the importance of perfection within existence by looking at the relationship the Perfect Individual has with God and the world, the eternal and non-eternal. In Chapter Three the physical manifestations of the Perfect Individual and their relationship to the Prophet Muhammad are analyzed. It explores the Perfect Individual's roles as Prophet, Saint, and Seal. The final chapter compares Ibn al-'Arabi's Perfect Individual to Sir Muhammad Iqbal's in order to analyze the different ways perfect action can be conceptualized. It analyzes the relationship between freedom and action.

An investigation of the nature and role of historicality in the thought of Dilthey and Heidegger

Introduction The question of the meaning, methods and philosophical manifestations of history is currently rife with contention. The problem that I will address in an exposition of the thought of Wilhelm Dilthey and Martin Heidegger, centers around the intersubjectivity of an historical world. Specifically, there are two interconnected issues. First, since all knowledge occurs to a person from within his or her historical age how can any person in any age make truth claims? In order to answer this concern we must understand the essence and role of history. Yet how can we come to an individual understanding ofwhat history is when the meanings that we use are themselves historically enveloped? But can we, we who are well aware of the knowledge that archaeology has dredged up from old texts or even from 'living' monuments of past ages, really neglect to notice these artifacts that exist within and enrich our world? Charges of wilful blindness would arise if any attempt were made to suggest that certain things of our world did not come down to us from the past. Thus it appears more important 2 to determine what this 'past' is and therefore how history operates than to simply derail the possibility for historical understanding. Wilhelm Dilthey, the great German historicist from the 19th century, did not question the existence of historical artifacts as from the past, but in treating knowledge as one such artifact placed the onus on knowledge to show itself as true, or meaningful, in light ofthe fact that other historical periods relied on different facts and generated different truths or meanings. The problem for him was not just determining what the role of history is, but moreover to discover how knowledge could make any claim as true knowledge. As he stated, there is a problem of "historical anarchy"!' Martin Heidegger picked up these two strands of Dilthey's thought and wanted to answer the problem of truth and meaning in order to solve the problem of historicism. This problem underscored, perhaps for the first time, that societal presuppositions about the past and present oftheir era are not immutable. Penetrating to the core of the raison d'etre of the age was an historical reflection about the past which was now conceived as separated both temporally and attitudinally from the present. But further than this, Heidegger's focus on asking the question of the meaning of Being meant that history must be ontologically explicated not merely ontically treated. Heidegger hopes to remove barriers to a genuine ontology by II 1 3 including history into an assessment ofprevious philosophical systems. He does this in order that the question of Being be more fully explicated, which necessarily for him includes the question of the Being of history. One approach to the question ofwhat history is, given the information that we get from historical knowledge, is whether such knowledge can be formalized into a science. Additionally, we can approach the question of what the essence and role of history is by revealing its underlying characteristics, that is, by focussing on historicality. Thus we will begin with an expository look at Dilthey's conception of history and historicality. We will then explore these issues first in Heidegger's Being and Time, then in the third chapter his middle and later works. Finally, we shall examine how Heidegger's conception may reflect a development in the conception of historicality over Dilthey's historicism, and what such a conception means for a contemporary historical understanding. The problem of existing in a common world which is perceived only individually has been philosophically addressed in many forms. Escaping a pure subjectivist interpretation of 'reality' has occupied Western thinkers not only in order to discover metaphysical truths, but also to provide a foundation for politics and ethics. Many thinkers accept a solipsistic view as inevitable and reject attempts at justifying truth in an intersubjective world. The problem ofhistoricality raises similar problems. We 4 -. - - - - exist in a common historical age, presumably, yet are only aware ofthe historicity of the age through our own individual thoughts. Thus the question arises, do we actually exist within a common history or do we merely individually interpret this as communal? What is the reality of history, individual or communal? Dilthey answers this question by asserting a 'reality' to the historical age thus overcoming solipsism by encasing individual human experience within the historical horizon of the age. This however does nothing to address the epistemological concern over the discoverablity of truth. Heidegger, on the other hand, rejects a metaphysical construel of history and seeks to ground history first within the ontology ofDasein, and second, within the so called "sending" of Being. Thus there can be no solipsism for Heidegger because Dasein's Being is necessarily "cohistorical", Being-with-Others, and furthermore, this historical-Being-in-the-worldwith- Others is the horizon of Being over which truth can appear. Heidegger's solution to the problem of solipsism appears to satisfy that the world is not just a subjective idealist creation and also that one need not appeal to any universal measures of truth or presumed eternal verities. Thus in elucidating Heidegger's notion of history I will also confront the issues ofDasein's Being-alongside-things as well as the Being of Dasein as Being-in-the-world so that Dasein's historicality is explicated vis-a-vis the "sending of Being" (die Schicken des S eins).

Self-presentational motives in eating disorders : a known groups difference approach

Self-presentation reflects the processes by which individuals attempt to monitor and control the impressions others form of them (Schlenker & Leary, 1982). Concerns over impressions conveyed have been linked to numerous health behaviors (Crawford & Eklund, 1994; Martin, Leary, & O'Brien, 2001). The present study investigated the role of cognitive manifestations of dispositional and situational self presentational motivation (SPM) in 131 females with known groups differences on a measure of eating disorders. Participants were classified as in-treatment (IN = 39); at risk (AT = 46); and not at risk (NOT = 46) for eating disordered behaviour. Each participant completed The Brief Fear of Negative Evaluation Scale (FNE; Leary, 1983), the Public Self-Consciousness Scale (PSC; Fenigstein, Sheier, & Buss, 1975), and the Social Physique Anxiety Scale (SPA; Hart, Leary, & Rejeski, 1989), as measures of dispositional SPM. Situational SPM was assessed through Self-Presentational Efficacy (SPE; Gammage, Hall, & Martin, 2004), and the Exercise Motivation Inventory-2 (Markland & Ingeldew, 1997). Significant differences emerged on the measure of eating disorder behaviour between AT and NOT. To determine if group differences existed on measures of trait SPM an ANOVA was conducted. Results indicated that the NOT group experienced less FNE, PSC and SPA than the IN and AT groups, and the AT group experienced less FNE and PSC than the IN group. Pearson bivariate correlations were conducted on measures of trait SPM and EMI-2 subscales theoretically linked to SPM. It was found that FNE, PSC and SPA were all positively correlated with weight management for the NOT group. To determine if group differences existed on selfpresentational exercise motives independent samples I-tests were conducted. Results revealed that the AT group was more motivated to exercise for weight management, and appearance, and social recognition than the NOT group. To determine if group differences existed on the state measure of self-presentational efficacy a series of ANOVA's were conducted. Results revealed that the NOT group experienced significantly greater self-presentational efficacy expectancy and self-presentational outcome value than the AT group. Finally, a discriminant function analysis was conducted to determine if trait SPM would predict group membership. Results revealed that 63.4% of participants were correctly classified, with SPA, PSC, and FNE differentiating the NOT group from the AT and IN groups and FNE and PSC differentiating the AT group from the IN group. Thus self-presentation motivation appears to have an influence on females who have an eating disorder and those at risk for an eating disorder. Potential applications of the influence of self-presentational motives on eating disorders and future research directions are discussed.

A phenomenological approach to understanding the psychological response to chronic low back pain

Chronic low back pain (CLBP) is a complex health problem of psychological manifestations not fully understood. Using interpretive phenomenological analysis, 11 semi-structured interviews were conducted to help understand the meaning of the lived experience of CLBP; focusing on the psychological response to pain and the role of depression, catastrophizing, fear-avoidance behavior, anxiety and somatization. Participants characterized CLBP as persistent tolerable low back pain (TLBP) interrupted by periods of intolerable low back pain (ILBP). ILBP contributed to recurring bouts of helplessness, depression, frustration with the medical system and increased fear based on the perceived consequences of anticipated recurrences, all of which were mediated by the uncertainty of such pain. During times of TLBP all participants pursued a permanent pain consciousness as they felt susceptible to experience a recurrence. As CLBP progressed, participants felt they were living with a weakness, became isolated from those without CLBP and integrated pain into their self-concept.

Quelle famille pour le XXIe siècle ? Perspectives québécoises

L'auteur, autour du thème de l'avenir de la famille, explore deux manifestations de ce qu'il appelle «l'objectivation» de celle-ci. Ce phénomène, issu d'une pluralisation des modes de vi, s'illuste en un premier temps par l'éclatement de la filiation du à une certaine réification de la personne. D'un modèle binaire et sexué, copié de la nature, on accepte aujourd'hui tant la filiation unilinéaire qu'homosexuelle et on se rapproche d'une possible filiation trilinéaire. En ce sens, l'éclatement du modèle semble consommé. En un second temps, cette «objectivisation» de la famille découle de la pluralité des types d'unions. L'auteur, tout en présentant sommairement la réglementation actuelle du mariage et de la récente union civile, soulève la question d'une éventuelle extension de l'«union de droit» dans la législation québécoise.

Rapport au travail et dynamique de transformation du métier d'ingénieur dans le contexte algérien: le cas de l'entreprise Sonatrach

Cette recherche a pour objet l'étude de la dynamique de transformation du métier d'ingénieur dans le contexte algérien saisi à travers le rapport au travail. Elle repose sur une approche théorique s'inspirant d'une sociologie des groupes professionnels avec une démarche alliant méthodes quantitatives et qualitatives. Prenant appui sur des données recueillies à l'aide d'un questionnaire et d'entretiens approfondis menés dans Sonatrach, la plus grande entreprise d'Algérie, notre étude s'est attachée à faire ressortir les facteurs qui agissent au niveau individuel, organisationnel et sociétal sur les pratiques professionnelles pour deux générations d'ingénieurs. La première a eu pour mission de bâtir le pays à travers les grands projets de développement qui ont caractérisé la période après l'indépendance. La deuxième est arrivée sur le marché de l'emploi, à la fin des années 80, dans un contexte de crise et a payé un lourd tribut à la détérioration de la conjoncture économique. Les pratiques professionnelles se construisent tout d'abord dans le travail, mais aussi dans l'exercice des activités quotidiennes, les relations avec les autres et enfin la satisfaction à l'égard du travail. Tels ont été les points focaux de notre démarche d'explicitation du rapport au travail chez nos ingénieurs. Nous avons mis en lumière l'effet de la position hiérarchique au sein de l'organisation et des types de fonction. La satisfaction tient de la fierté d'appartenir à une entreprise prestigieuse. Chez les jeunes, elle s'exprime aussi dans les avantages matériels et une vision du métier fondée sur la maîtrise technique. Les plus âgés, encore marqués par l'idéologie nationaliste, mettent l'accent sur la participation à l'édification du pays, mais aussi sur la réalisation de soi et la fidélité à l'entreprise. Le rapport au travail s'élabore également au fil du temps dans son cheminement professionnel. Nous l'avons abordé, dans une deuxième étape, en documentant les processus d'intégration et de mobilité au sein de l'entreprise. Les trajectoires professionnelles sont régies par des politiques et des procédures de gestion qui en définissent les modalités, mais elles obéissent également à des opportunités et à des pratiques informelles qui jouent un rôle tout aussi important dans la détermination des profils de carrière. Enfin, le rapport au travail est tributaire de facteurs qui dépassent le cadre de l'entreprise. Dans une troisième étape, nous avons analysé les transformations du système éducatif et leur impact sur la certification des ingénieurs, la crise économique et ses effets en termes de chômage et de précarité et enfin la montée du discours religieux et ses manifestations chez les ingénieurs. Ces facteurs liés au contexte sociétal modifient les représentations et modèlent les attitudes et comportements au travail et à l'égard de celui-ci. Comme le montre notre recherche, le rapport au travail articule, dans une composition complexe, parcours individuels et histoires collectives vécus dans des environnements en évolution. La pratique d'un métier se trouve liée aux différents contextes de socialisation qui traversent les individus. Elle se situe, dans le cas algérien, au croisement d'une formation scientifique et technique qui montre peu de réactivité aux besoins mouvants de l'opérateur économique qu'elle est censée satisfaire, d'une entreprise bureaucratique dans son organisation et dans son fonctionnement où le contournement des règles peut s'ériger en principes de gestion et enfin d'un contexte sociétal qui oscille entre modernité et tradition. Cette dernière est réinterprétée de manière orthodoxe par les mouvements religieux en action dans la société. Ainsi, les ingénieurs investis initialement d'une mission de développement et considérés alors comme "vecteur de modernité" connaissent une détérioration de leur statut et la crise touche la profession vécue cependant différemment selon les générations.

Conjoncture et historicité de l'accession de la norme à sa juridicité : les droits linguistiques au Canada

"Thèse présentée à la Faculté des études supérieures En vue de l'obtention du grade de Docteur en droit"