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Search Results: 1 - 10 of 2134 matches for " Serge Gagnon "
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Health 3.0—The patient-clinician “arabic spring” in healthcare  [PDF]
Serge Gagnon, Laurent Chartier
Health (Health) , 2012, DOI: 10.4236/health.2012.42008
Abstract: A growing number of citizen-patients and clinicians use Communication and Self-Managed Health Technologies (CSMHT) in their relationship. Doing so, they shift from the current paradigm of dependency to a co-responsibility paradigm in healthcare. Facing the runaway utilization of health services, we need to think “outside the box” to unblock the system. A Health 3.0 development model of governance that position patients as primary members of the clinicians’ team is presented to map this institutional transformation. At the practical level, an MD 3.0 relational model and a Citizen-Patient 3.0 behavioral profile are presented.
L’appropriation ludique de la forêt au Québec : d’une gestion privée de club à une intervention publique de protection (1885-1935)
Serge Gagnon
études Caribeénnes , 2009, DOI: 10.4000/etudescaribeennes.3609
Abstract: Les grands domaines naturels, rattachés aux diverses stations de villégiature, étaient dépositaires des meilleurs lacs à truites, d'immenses territoires de sauvagine, de cerf de Virginie et d'un grand nombre de rivières à saumon. Si le littoral et la montagne ont agi comme attracteurs dans le cas de la villégiature, il en a été autrement pour les clubs de chasse et de pêche, qui sont apparus au milieu du XIXe siècle et se sont multipliés à compter de 1885. En l'occurrence, la mécanique à l’ uvre semble avoir posé la grande nature comme visée territoriale et le coureur des bois comme figure emblématique du héros romantique. L’argument développé dans cet article va s'employer à montrer que le tourisme et la villégiature ont constitué au Québec des procédures de valorisation positionnelle de nature géoanthropologique. Le clubage des Laurentides, au sens large du terme, aura constitué en ce sens le présupposé de leur colonisation intérieure. Qu'il s'agisse du lac Saint-Jean, de la Mauricie ou des Laurentides en général, on retrouve l'efficacité du parcours structural de l’établissement humain développé en géographie structurale : l'occupation utilitaire d'un territoire disponible présuppose non pas d'abord une transformation de la nature mais une valorisation des positions abstraites par le tourisme et la villégiature. The large natural areas, linked to the various resorts, were custodians of the best trout lakes, huge areas of waterfowl, deer of Virginia and a large number of salmon rivers. If the coast and the mountains acted as attractors in the case of the holiday, it was different for the club hunting and fishing, which have emerged in the mid-nineteenth century and have increased from 1885. In this case, the mechanics at work seems to have raised the "great outdoors" as a territorial and "rider of the woods" as emblematic figure of the romantic hero. In this case, the mechanics at work seems to have raised the "great outdoors" as a territorial and "rider of the woods" as emblematic figure of the romantic hero. The argument developed in this article will seek to show that tourism and vacationing were in Quebec recovery procedures such as positional geo-anthropological. The “clubage” Laurentian, in the broadest sense, will be formed in this sense the assumption of internal colonization. Whether Lake Saint-Jean, Mauricie and Laurentides in general, we find the effectiveness of the structural pathways of human settlement geography developed structural: the occupation of territory utility presupposes not available not primarily a transformatio
Toward an integrative model for alcohol use and dependence  [PDF]
Serge Combaluzier
Open Journal of Psychiatry (OJPsych) , 2012, DOI: 10.4236/ojpsych.2012.24044
Abstract: Background: If the alcohol use and dependence disorders are differentiated by the pharmaco-dependence, they share complex relationships with other clinical disorders and personality disorders. The purpose of this paper is to produce a model that reflects its relations both among users than among addicts. Method: Data from questionnaires measuring key variables selected for this study have been collected from people with alcohol misuse (n = 83) and alcohol-dependent (n = 81) in rehab. A model of drug dependence has been produced from these data that gives complete satisfaction to the criteria of SEM. Discussion: This model reflects the shift from abuse to a dependent consumption by the presence of feedbacks involving pharmaco-dependence, disturbance of the alcohol consumption by psychological distress and depressive traits. To further guarantee its validity, however it should be tested by collecting data from other surveys.
Contribution des travailleurs dans l’élaboration des programmes d’entra nement à la manutention sécuritaire : identification des stratégies, évaluation biomécanique et implantation
Micheline Gagnon
Perspectives Interdisciplinaires sur le Travail et la Santé , 2005,
Abstract: Les travailleurs experts et novices présentent des caractéristiques différentes, particulièrement pour les éléments de placements/déplacements des pieds et de man uvres effectuées avec les bo tes. Un examen biomécanique de ces éléments et de certaines stratégies contrastant les experts et les novices a mis en évidence leur potentiel pour une manutention plus sécuritaire. On note la réduction des chargements articulaires, surtout au dos, la réduction des asymétries du dos et les exigences moins grandes en travail mécanique. L’efficacité de stratégies d’experts et de novices fut ensuite évaluée, suite à un programme d’entra nement, par deux études indépendantes effectuées chez des travailleurs novices. On a d’abord étudié les effets de la pratique libre pour conclure qu’elle ne mène pas spontanément à un apprentissage de stratégies optimales. On a ensuite évalué un entra nement orienté sur l’observation de certaines stratégies contrastées propres à des experts et à des novices (placement/déplacement des pieds, man uvres de bo tes et posture du dos), combinée à une pratique libre mais orientée sur une recherche de solutions optimales ; on a conclu que les novices soumis à cet entra nement adoptaient rapidement de nouvelles fa ons de man uvrer les bo tes et de se placer qui apparaissent plus sécuritaires pour le travail mécanique et les efforts au dos. Il est donc recommandé d’inclure ces éléments dans les programmes d’entra nement et d’élaborer des programmes sur la base des connaissances des travailleurs et l’observation de leurs performances plut t que sur la seule théorie. Expert and novice workers present different characteristics, particularly for aspects such as foot positioning/displacement and box maneuvers. A biomechanical investigation of these aspects and of specific strategies contrasting experts and novices revealed their potential for safer ways of handling. A reduction in joint loadings, especially on the back, and a reduction in back asymmetries and lesser mechanical work requirements were noted. The efficacy of experts’ and novices’ strategies was evaluated following a training program by means of two independent studies with novice workers. The effects of free practice were first evaluated ; it was concluded that this process does not lead spontaneously to the learning of optimal strategies. This was followed by the evaluation of a training program oriented towards the observation of specific strategies contrasting experts with novices (foot positioning/displacement, box maneuvers, back posture), combined with free practice oriented towar
Femmes vivant avec le VIH/sida et lipodystrophie : vers une compréhension qualitative du processus de transformations corporelles
MARILOU GAGNON
Aporia : The Nursing Journal , 2010,
Abstract: Parmi les réactions néfastes de la thérapie antirétrovirale, le syndrome de la lipodystrophie est une condition débilitante qui afflige les personnes vivant avec le VIH/sida et ce, tant sur le plan physique que psychosocial. Cette recherche qualitative avait pour but de décrire le processus de transformations corporelles auquel font face les femmes et d'explorer les répercussions psychosociales de cette condition qui se manifeste progressivement au cours du traitement.
(Re)Thinking the Corporeality of HIV/AIDS in the Post-HAART Era: A Critical Perspective
MARILOU GAGNON
Aporia : The Nursing Journal , 2009,
Abstract: The goal of this paper is to expose the hidden facet of the interface technology-body through a theoretical application of the concept of pharmakon to the fi eld of HIV/AIDS. Based on the works of Plato and Jacques Derrida, the concept of pharmakon is explored and situated within the interface technology-body. Thus, the main objective of this theoretical piece is to discuss how HIV medications as pharmakon are involved in the creation of new forms of corpo/reality for people living with HIV/AIDS, namely the cyborg and the mutant. Inspired by Haraway’s cyborg and Cronenberg’s mutants, the ambivalent quality of technology is explored through the technological fi gure and the monstrous fi gure, two different but complementary representations that expose the bodily experiences of Highly Active Antiretroviral Therapy (HAART).
Penser la question des rapports aux savoirs en éducation : clarification et besoin de recherches conceptuelles
Mathieu Gagnon
Les Ateliers de l’éthique , 2011,
Abstract: Ce texte examine la question des rapports aux savoirs par la mise en évidence d’enjeux conceptuels, auxquels se rapportent des enjeux éducatifs et éthiques. à cet égard, l’auteur propose un essai de classification et d’organisation par le recours, notamment, à quatre types de rapports aux savoirs.This paper focuses on the question of the relationships to knowledge by highlighting conceptual, educational and ethical issues. In this regard, the author proposes an essay of classification and organization by the use, among others, of four types of relationships to knowledge.
Crises and trends: Mortality in historical perspective
Alain Gagnon
Canadian Studies in Population , 2012,
Abstract:
Developmental Process of Dialogical Critical Thinking in Groups of Pupils Aged 4 to 12 Years  [PDF]
Marie-France Daniel, Mathieu Gagnon
Creative Education (CE) , 2011, DOI: 10.4236/ce.2011.25061
Abstract: The objective of this study is to model the development of critical thinking in groups of pupils aged 4 to 12 years. A previous study, conducted with groups of pupils aged 9 to 12 years who practiced Philosophy for Children (P4C), proposed a model that shows how critical thinking develops in these age groups. The present empirical study was conducted in three geographical contexts (Quebec, Ontario and France) with 17 classrooms of pupils who had practiced P4C. Based on a qualitative method of analysis that stems from the Grounded Theory, analysis of the 17 transcripts of exchanges resulted in a revised model of the developmental process of critical thinking that is defined by four thinking modes and six epistemological perspectives. Using this revised model, a further analysis of the transcripts illustrated that the development of critical thinking occurred through a process of fading and appropriation/transformation, which is associated with “scaffolding”.
Soil Agricultural Potential in Four Common Andean Land Use Types in the Highlands of Southern Ecuador as Revealed by a Corn Bioassay  [PDF]
Gustavo Chacón, Daniel Gagnon, David Paré
Agricultural Sciences (AS) , 2015, DOI: 10.4236/as.2015.610108
Abstract: In the Andes, little is known about the relationships among current land uses and their effect on soil fertility. Corn (Zea mays L.) was used to evaluate soil quality for plant growth on soils of four land uses, along an expected gradient of fertility: native forests (Nf) > pastures (Pa) > Eucalyptus globulus Labill. plantations (Eg) > Pinus patula Schlecht. plantations (Pp). Corn was grown in soils taken from four different areas, for the four land uses in each. In a common garden, a randomized block design was used with four treatments: controls (C), ammonium nitrate (N), triple superphosphate (P), and combined N and P fertilizers (N + P). On soils from Nf, Pa and Eg, fertilization response was N + P > P > N > C; corn biomass (g/pot-1) averaged 4.5 in N + P, 3.3 in P, 1.8 in N, 1.7 in C; P content (mg/pot-1) averaged 12 in N + P, 11.9 in P, 2.3 in N, 2 in C. N + P enhanced growth the most. Mortality was high on Pp soils, growth weak, and fertilization response was P > N + P > C ≥ N; corn biomass (g/pot-1) was 0.9 in P, 0.5 in N + P, 0.8 in C, 0.4 in N; P content (mg/pot-1) was 4.4 in P, 2.3 in N + P, 1.8 in C, 1 in N. All soils had P, K, Ca and Mg deficiencies. Al toxicity possibly occurred only in Pp soils. All control soils had low fertility. Responses to N and P were high except for Pp. Pastures and plantations were once natural forests converted to agriculture, then to pastures as soil fertility declined. Plantations were likely established on poorest pastures; only pine grew on poorest soils. This land use endpoint has the lowest agricultural potential; other land uses have limitations in P, N, and potentially K.
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