Documents found
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661.More information
A collegial procedure refers to the fact that, before making a delicate medical decision, the opinion of the entire care team responsible for the patient is sought, including nurses and orderlies, among others. The Claeys-Leonetti end-of-life law (2016) enshrines this in French law as mandatory when implementing deep and continuous sedation until death (DCSD). The aim of the study was to take stock of the awareness of this aspect of the law among all the healthcare staff of a cancer institute and to identify how collegiality was established for a DCSD decision, depending on the department. We administered an anonymous online questionnaire to all those involved in healthcare (knowledge of the Claeys-Leonetti Act), and then met healthcare workers from the various departments in discussion groups (managers, nursing staff and orderlies) or in individual interviews (doctors). The results show that young healthcare staff (with less than 5 years' experience) are more familiar with the law, across all professions, and that nurses and orderlies are more likely to assert their rights than doctors. We report on the diversity of the implementation of collegiality for sedation decisions, in terms of formalisation, standardisation and inter-professionalisation. We conclude that the implementation of collegiality in advance of a decision broadens the methods of multi/inter-professional communication and helps to alleviate the suffering of patients, doctors and care givers.
Keywords: fin de vie, collégialité, cancérologie, soins palliatifs, end of life, collegiality, oncology, palliative care
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662.More information
The Mané Rutual passage grave was one of the first to benefit from sholarty interest in engravings on orthostats and capstones. However, several unpublished designs have been recovered in this systematic survey on both already recorded orthostats and new stelae in the chamber. Following the process initiated at Mané Lud, precise forms of stelae were reconstituted by detailed 3D recording. This permited to explain, among others, the asymetry of the main capstone's great figure (due to the detachment of a rock flake which removed one of the lateral « buckles »). This recording should, we hope soon, enable acurate copies of these features to be done, including obscure elements whose gradual deterioration demands an urgent rescue timetable.
Keywords: 3D recording, Passage grave, stelae, megalithic art, représentations 3D, Tombe à couloir, stèles, gravures
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663.More information
This paper focuses on three projects centered on Franco-Manitoban novelist Gabrielle Roy's archive : an exhibition at Library and Archives Canada, an album, and a web site based on the virtual community concept. Depending on the overall purpose of the project (political or institutional, encouragement to read or reread the novels, dialogue between researchers and readers), the archive is in each case used, and reconstructed, with a unique approach. The networking of Roy's archive certainly results in the development of new collaborative models based upon a participatory process, but it brings up questions about the sustainability of digital publications.
Keywords: Gabrielle Roy, archive, manuscrits, édition électronique, communauté virtuelle, document, Gabrielle Roy, archive, manuscripts, digital edition, virtual community, document
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665.More information
Medical libraries are essential as they support clinical and administrative decision-making while being an integral part of health care training and scientific research. This article presents an overview of libraries found in health care and social service institutions in Quebec. The author describes the context in which these resource centres evolve, the numerous changes affecting the provincial health care sector, and the collaborative spirit driving the health documentation network. He then addresses the role of resources centres within health care institutions, workforce issues, the evolution of service offerings and the increasing provision of online access to collections. The author concludes by presenting new roles that health care information professionals may assume in the future.
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668.More information
Video games give creators great possibilities when it comes to inviting the public to interact with their works. Nonetheless, however numerous the possibilities of choice given to the player, they are necessarily limited. Doki Doki Literature Club! proposes boldly to destroy this illusion of liberty, when it makes very visible the limits of the choices it proposes. It goes even beyond, and tries to make the player realise that, beyond the game, in the real world itself, there is actually little they can do, making them even more ill at ease as the story unfolds. Analysing this terrifying process with Camus’ theories on the absurd, this article tries to show how Doki Doki Literature Club! makes out of what is but a weakness of every videoludic production a strength, forcing the player through an experience they are not to forget.
Keywords: Décision, Responsabilité, Liberté, Jeu vidéo, Limites, Absurde, Albert Camus, Fiction, Récit, Choice, Responsability, Liberty, Video Game, Limits, Absurd, Camus, Fiction, Narrative
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669.More information
The objective of this study was to describe the pedagogical practices of ten third-cycle elementary teachers for including ICT in their teaching, including the ways they choose to use these technologies with their students, and their preferred organization methods. The results showed that teachers see the computer in the classroom more as a learning tool than a means of entertainment. In this sense, the preferred uses were mainly research, processing and publishing information, with the help of word processing and the Internet. Few teachers fully integrated ICT into their lessons. The teachers report that they prefer using ICT directly in the classroom rather than in a lab, which facilitates the management of the technologies using a much more student-centred approach, through workshops, free time and projects. This article also reveals a few limitations and suggests several avenues of research. It also makes some practical recommendations.
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670.More information
Yves Billaud, Eric Rieth, with Marc Ginisty, The extended logboat of Doussard/Bredannaz (Lake Annecy, Haute-Savoie). Vessels of internai waters at the end of the medieval period Discovered in 2003 in the southern part of Lake Annecy, the Bredannaz wreck has been entirely cleared during two underwater excavation campaigns that have revealed a good state of préservation. The study, along with complementary observations made on a similar wreck from Lake Annecy, has led to the reconstitution of a vessel some 9 métrés long and 2.30 métrés wide, rectangular in plan and extending to a point at the prow. The architecture is archaic in principal, being of bottom based construction with the structure of an extended logboat/plank boat. Certain cha-racteristics, such as the use of cramps, lead one to question the eventual relations between naval and rural architecture. The craft has also been studied from the point of view of metrology and has revealed the use of the Savoie foot. Its hydrodynamic characteristics have been examined with the aid of naval architecture software. The architectural particularities of the Bredannaz wreck, for which a date of 15th-16th century is proposed, make it an important milestone in our knowledge of the history of watercraft in the Alpine lakes.