NCube/papyrus huggingface dataset:
Élaboration du programme d’entretien préventif des équipements médicaux du CIUSSS du Nord-de-l’Île-de-Montréal

Afin de répondre à une pratique organisationnelle requise (POR) d’Agrément Canada, le centre intégré universitaire de santé et de services sociaux du Nord-de-l’Île-de-Montréal (CIUSSS NIM) a pris l’initiative de mettre en place une méthode de catégorisation des équipements médicaux de ses installations dans le but d’uniformiser son programme d’entretien et d’inspection. Se retrouvant avec près de 25 installations différentes à la suite de l’entrée en vigueur de la Loi modifiant l’organisation et la gouvernance du réseau de la santé et des services sociaux notamment pas l’abolition des agences régionales, la mise en oeuvre d’un programme d’entretien et d’inspection unique est devenu un enjeu majeur pour le service de physique et de génie biomédical. Ce rapport de projet expose la démarche qui a été mise en oeuvre pour atteindre ce but tout en considérant les contextes et particularités des installations qui forment le CIUSSS NIM. Plus précisément, le projet a été initié par une collecte d’informations auprès des intervenants. Les données rassemblées ont permis d’aboutir à plusieurs constats : les programmes d’entretien préventif, les méthodes de priorisation, les critères employés pour définir la criticité des équipements et la gestion de l’inventaire varient énormément d’une installation à une autre. Par la suite, une procédure a été rédigée et un arbre décisionnel élaboré pour permettre une catégorisation uniforme des équipements médicaux (É.M.). La méthode a ensuite été appliquée à l‘ensemble des équipements du CIUSSS et une validation a débuté. Finalement, des statistiques ont été compilées afin d’estimer l’ampleur du changement qu’apporte le nouveau programme d’entretien et d’inspection. Ces changements, qui respectent globalement la ligne directrice qui guidait les programmes d’entretien en place préalablement à l’entrée en vigueur de la loi, imposent tout de même certaines modifications des pratiques. L’ampleur de ces modifications varie d’une installation à une autre. Des recommandations formulées pour poursuivre la démarche entreprise dans l’optique d’uniformisation des pratiques de CIUSSS NIM concluent ce rapport.

Keyphrases: programme d’entretien préventif, maintenance préventive, criticité, inspection
The Contribution of Conceptual Frameworks to Knowledge Translation Interventions in Physical Therapy

Context:  There is growing recognition of the importance of knowledge translation activities in physical therapy to ensure that research findings are integrated in clinical practice, and increasing numbers of knowledge translation interventions are being conducted. Although various frameworks have been developed to guide and facilitate the process of translating knowledge into practice, these tools have been infrequently used in physical therapy knowledge translation studies to date.  Problem and recommendation:  Knowledge translation in physical therapy implicates multiple stakeholders and environments, and involves numerous steps. In light of this complexity, the use of explicit conceptual frameworks by clinicians and researchers conducting knowledge translation interventions is associated with a range of potential benefits. In this article, we argue that such frameworks are important resources to promote the uptake of new evidence in physical therapy practice settings. We identify four key benefits associated with the use of conceptual frameworks in designing and implementing knowledge translation interventions. We also consider limits related to their use. We then evaluate a sample of five conceptual frameworks and consider how they address common barriers to knowledge translation in physical therapy. The goal of this analysis is to provide guidance to physical therapists seeking to identify a framework to support the design and implementation of a knowledge translation intervention. Finally, we illustrate the use of a conceptual framework through a case example.  Conclusion:  Increased use of conceptual frameworks can have a positive impact on the field of knowledge translation in physical therapy and support the development and implementation of robust and effective knowledge translation interventions that help span the research-practice gap.

Keyphrases: knowledge translation, physiotherapy, conceptual framework, rehabilitation, Physiothérapie, Réadaptation
Ethical Issues Raised by Private Practice Physiotherapy Are More Diverse than First Meets the Eye: Recommendations from a Literature Review

Purpose: Physiotherapy in private practice differs from physiotherapy practised in a public setting in several ways, the most evident of which is the for-profit nature of private physiotherapy clinics; these differences can generate distinct and challenging ethical issues. The objectives of this article are to identify ethical issues encountered by physiotherapists in private practice settings and to identify potential solutions and recommendations to address these issues. Method: After a literature search of eight databases, 39 studies addressing ethical issues in a private practice context were analyzed. Results: A total of 25 ethical issues emerging from the included studies were classified into three main categories: (1) business and economic issues (e.g., conflicts of interests, inequity in a managed care context, lack of time affecting quality of care); (2) professional issues (e.g., professional autonomy, clinical judgment, treatment effectiveness, professional conduct); and (3) patients’ rights and welfare issues (e.g., confidentiality, power asymmetries, paternalism vs. patient autonomy, informed consent). Recommendations as to how physiotherapists could better manage these issues were then identified and categorized. Conclusions: The physiotherapy community should reflect on the challenges raised by private practice so that professionals can be supported – through education, research, and good governance – in providing the best possible care for their clients.

Keyphrases: ethics, physical therapy specialty, private practice, private sector, professional ethics
An in-depth analysis of ethics teaching in Canadian Physiotherapy and Occupational Therapy programs

Purpose: The purpose of this study was to examine current approaches and challenges to teaching ethics in entry-level Canadian physiotherapy (PT) and occupational therapy (OT) programs. Methods: Educators responsible for teaching ethics in the 28 Canadian PT and OT programs (n=55) completed an online survey. Results: The quantity of ethics teaching is highly variable, ranging from 5 to 65 hours. Diverse obstacles to ethics teaching were reported, relating to the organization and structure of academic programs, student issues and the topic of ethics itself. Specific challenges included time constraints, large class sizes, a lack of pedagogical tools adapted to teaching this complex subject, a perceived lack of student interest for the subject and a preference for topics related to clinical skills. Of note, 65% of ethics educators who participated in the survey did not have any specialized training in ethics. Conclusion: Significant cross-program variation in the number of hours dedicated to ethics and the diversity of pedagogical methods used suggests that there is little consensus about how best to teach ethics. Further research on ethics pedagogy in PT and OT programs (i.e., teaching and evaluation approaches, effectiveness of current ethics teaching), would support the implementation of more evidence-based ethics education.

Keyphrases: ethic teaching, pedagogy, Curriculum, occupational therapy, physiotherapy, canada
Whole genome sequencing of a Canadian Bovine gammaherpesvirus 4 strain and possible link between the viral infection and respiratory and reproductive clinical manifestations in dairy cattle

Bovine gammaherpesvirus 4 (BoHV-4) is a herpesvirus widespread in cattle populations, and with no clear disease association. Its genome contains a long unique coding region (LUR) flanked by polyrepetitive DNA and 79 open reading frames (ORFs), with unique 17 ORFs, named Bo1 to Bo17. In 2009, a BoHV-4 strain was isolated (FMV09-1180503: BoHV-4-FMV) from cattle with respiratory disease from Quebec, Canada, and its LUR was sequenced. Despite the overall high similarity, BoHV-4-FMV had the most divergent LUR sequence compared to the two known BoHV-4 reference strain genomes; most of the divergences were in the Bo genes and in the repeat regions. Our phylogenetic analysis based on DNA polymerase and thymidine kinase genes revealed that virus isolate was BoHV-4 gammaherpesvirus and clustered it together with European BoHV-4 strains. Because BoHV-4-FMV was isolated from animals presenting respiratory signs, we have updated the BoHV-4 Canadian cattle seroprevalence data and tried to find out whether there is a link between clinical manifestation and BoHV-4 seropositivity. An indirect immunofluorescence assay (IFA) was performed with nearly 200 randomized sera of dairy cattle from two Canadian provinces, Quebec (n = 100) and Ontario (n = 91). An additional set of sera obtained from Quebec, from the healthy (n = 48) cows or from the animals experiencing respiratory or reproductive problems (n = 75), was also analyzed by IFA. BoHV-4 seroprevalence in Canadian dairy cattle was 7.9% (Quebec: 6% and Ontario: 9.9%). Among animals from the Quebec-based farms, diseased animals showed higher BoHV-4 seropositivity than healthy animals (P < 0.05), with a significant 2.494 odds ratio of being seropositive in sick compared to healthy animals. Although there is no established direct link between BoHV-4 and specific diseases, these seroprevalence data suggest the possible involvement of BoHV-4 in dairy cattle diseases.

Keyphrases: Bovine gammaherpesvirus 4, Cattle infectious diseases, Long unique coding region, Phylogenetic analysis, Seroprevalence
Mechanistic insights into the directed assembly of hydrogel
blocks mediated by polyelectrolytes or microgels

In this study, we report the directed assembly of hydrogel blocks mediated by       electrostatic interactions. We compared two different assembly mechanisms, one       mediated by microgel particles and another mediated by direct interaction between       oppositely charged blocks. The system consisted of hydrogel blocks made of an       interpenetrated network of (hydroxyethyl)methacrylate-poly(ethylene       glycol)dimethacrylate (HEMA-PEGDMA) and either positively charged       polyethylenimine (PEI) or negatively charged hyaluronic acid (HA). Positively       charged hydrogel blocks were pretreated with negatively charged microgel       particles (MG) made of N-isopropylacrylamide-methacrylic acid. Both systems       (PEI/HA and PEI/MG) demonstrated spontaneous directed assembly, meaning that       positive blocks were systematically found in contact with oppositely charged       blocks. Directed assembly in water of PEI/HA blocks resulted in large and open       aggregates, while PEI/MG blocks exhibited more compact aggregates. Effects of       salt and pH were also assessed for both systems. Inhibition of blocks aggregation       was found to appear above a critical salt concentration (CSalt*) which was       significantly higher for the PEI/HA system (80 mM) compared to the PEI/MG system        (5-20 mM). The observed difference was interpreted in terms of the nanostructure        of the contact area between blocks. Blocks aggregation was also found to be       controlled by the content of negatively charged groups in the microgels as well       as the concentration of MG in the suspension (CMG) used to treat the hydrogel       block surfaces. Our results shine light on the subtle differences underlying the        adhesion mechanisms between hydrogel blocks and suggest new routes toward the       design of innovative complex soft materials.

Keyphrases: Hydrogel block, Microgels, Polyelectrolytes, Directed assembly, Adhesion
Parenting and preschoolers’ executive functioning : A case of differential susceptibility?

A growing body of theoretical and empirical work has been attempting to answer the questions of how and how much of the effects of children’s early experience may depend on their inner characteristics. Theory and evidence suggest that some children, notably those with difficult temperaments, are more susceptible to both negative and positive aspects of parenting. The purpose of the current study was to investigate whether child temperament moderated the links between the quality of mother-infant interactions, observed when children were 1 year of age, and two components of child executive functioning (EF) at 3 years, namely impulse control and conflict EF, among 74 mother–child dyads. The results were consistent with the notion that children with more difficult temperaments may be more susceptible to maternal behaviors than children with less difficult temperaments, but only regarding the development of impulse control abilities. There was no clear evidence of such moderation for conflict EF. These results support the idea that distinct mechanisms may underlie the development of different dimensions of child EF.

Keyphrases: Differential susceptibility, Executive functions, Parenting, Preschoolers, Temperament
Postvaccinal reovirus infection with high mortality in breeder chicks

A broiler breeder flock was subcutaneously vaccinated at the hatchery with a live avian orthoreovirus (ARV) vaccine against viral arthritis. Chicks began to die at 3 days of age and postmortem examination revealed massive subcutaneous hemorrhages and edema on the dorsal aspect of the neck at the site of vaccination, a severe necrotic hepatitis, and pulmonary edema. Microscopically, the main lesion was a multifocal vacuolar degeneration and necrosis of randomly distributed small groups of hepatocytes with presence of apoptotic and multinucleated syncytial cells. Necrotic foci were also found in the lungs as well as a hemorrhagic, granulomatous, and heterophilic cellulitis and myositis of the neck and a generalized depletion and lymphocytolysis of lymphoid organs. At 8 days of age, birds also began to show hock swelling histologically characterized by a fibrinoleucocytic inflammation of the articulation and tendon sheaths, with hyperplasia of the synovial membrane, and lymphoplasmocytic infiltration. PCR and viral culture of livers were positive for ARV. Partial sequencing of the S1 gene from the virus isolate showed 99.2% to 99.8% homology with three vaccinal strains (ARV S1133, 1733, and 2408). Viral particles compatible with reovirus virions were observed at transmission electron microscopy. Investigation at the hatchery revealed that chicks were inadvertently administered an S1133 reovirus vaccine labeled for water administration in 10- to 17-week-old chickens. This human error is most likely the reason for this unusually severe viremic reovirus infection that affected this flock at such an early age.

Keyphrases: Avian, Chicken, Reovirus, Hepatitis, Vaccine
Midiendo la meta-capabilidad de agencia: base teórica para la creación de un indicador de responsabilidad

Amartia Sen ha construido su enfoque de capabilidades sobre la distinción existente entre libertad de agencia y libertad de bienestar. Este artículo propone entender la agencia como una meta-capabilidad: la capabilidad de valorar y elegir nuestra propia libertad. A continuación plantea entender la agencia como formada por las tres dimensiones de responsabilidad siguientes: ex–ante, ex–post y ex-aliud. Presenta luego un modelo teórico que nos permita medir niveles de capabilidad de agencia en el ámbito laboral Amatia Sen a construit son paradigme des capabilités sur la distinction qu’il établit entre liberté d’agence et liberté de bien-être. Cet article propose de comprendre la liberté d’agence comme une meta-capabilité : la capabilité d’apprécier et de choisir notre propre liberté. Il propose ensuite de comprendre cette meta-capabilité comme formée par trois dimensions de responsabilité : responsabilité ex-post, ex-ante, ex-aliud. Sur cette base il développe un modèle théorique qui doit permettre de mesurer les niveaux de capabilité d’agence dans le facteur de production travail.

Keyphrases: philosophy, ethics, economics, Keywords: Amartya Sen, well-being, agency, meta-capability of agency, responsibility, well-being measurement, Mexico., philosophy, ethics, Amartya Sen, philosophy, philosophie, éthique, économie, Keywords: Amartya Sen, well-being, capability, well-being measurement, philosophy, philosophie, éthique, economics et économie, Amartya Sen, Bien-être, Agencéité, Capabilité, méta-capabilité d’agence, responsabilité, mesure du bien-être, Mexique.
Valeurs, études, identité, quel rapport ?

Le présent mémoire repose sur la notion de « valeur », vue sous l’angle du rapport que tout individu entretient avec son action et, par extension, avec autrui et l’environnement social dans lequel il évolue. Dans ce contexte, les valeurs teintent le rapport aux études susceptible d’expliquer l’identité étudiante. Sous cette optique, ce mémoire établit une distinction analytique entre valeurs expressives et instrumentales. Les valeurs peuvent être qualifiées d’instrumentales lorsqu’elles relèvent d’une conception fondée sur la relation d’un moyen par rapport à une fin, tandis qu’elles sont conçues comme expressives lorsqu’elles intègrent des « sentiments », voire des symboles d’accomplissement personnel. Ce mémoire étudiera les valeurs à l’oeuvre chez les étudiants inscrits en médecine et en sociologie. En toute hypothèse, les valeurs instrumentales seraient le fait des futurs médecins, par opposition aux apprentis sociologues qui afficheraient des valeurs expressives. Or, l’analyse menée dans le cadre de ce mémoire démontre que s’il existe des différences sur le plan des valeurs entre les étudiants des deux filières d’études mentionnées précédemment, elles sont loin d’être radicales. Sur la lancée, on découvrira aussi que l’identité étudiante se décline désormais –dans les programmes étudiés dans le cadre de ce mémoire- à l’aune du programme d’études plutôt que par rapport à une appartenance plus générale au statut d’étudiant. The present master’s thesis is based on the notion of ―value‖ seen from the point of view of the relationship that every individual maintains with his or her action and, by extension, with others and with the social environment in which he or she evolves. In this context, the values tinge the relationship to studies likely to explain student identity. In this perspective, this master’s thesis establishes an analytical distinction between expressive and instrumental values. The values can be described as instrumental when they are a matter of a conception based on the relationship between means and end, whereas they are seen as expressive when they integrate ―feelings‖, or even symbols of personal achievement. This master’s thesis will study the values amongst students registered in medicine and in sociology. It can be suggested that instrumental values would be characteristic of future doctors, as opposed to student sociologists who would display expressive values. And yet, the analysis carried out within the framework of this master’s thesis demonstrates that if indeed there are differences as regards values between students of both subjects previously mentioned, they are far from being radical. In addition, we will discover that, in the school curricula examined within the context of this master’s thesis, student identity is from now on represented in terms of the school curriculum rather than in relation to a more general membership of the student status.

Keyphrases: Étudiants, Études, Rapport aux études, Valeurs instrumentales, Valeurs expressives, Identité étudiante, Students, Studies, Relation to studies, Values, Student identity
Extended-spectrum β-lactamase, carbapenemase, and the mcr-1 gene: Is there a historical
link?

The plasmid mediated mcr-1 gene encoding for Enterobacteriaceae colistin resistance has been recently identified across five continents. The objective of the present study was to trace historical events concerning the discovery and emergence of the mcr-1 gene along with ESBL and carbapenemase genes since several studies have reported identifying mcr-1 genes among Extended-Spectrum β-Lactamases (ESBL) and/or carbapenemase producing Escherichia coli. A retrospective study reported the identification of the mcr-1 gene in E. coli strains isolated in the 1980s, and this seems to correspond to the first identification of ESBL enzymes. The first discovery of the New Delhi metallo-beta-lactamase-1 (NDM-1) in 2009 was associated with a significant increase in mcr-1 gene prevalence in E. coli strains obtained from food producing animals. We noticed that a historical link has existed between mcr-1, ESBL and carbapenemase genes since the 1980s, and we believe that the re-evaluation of colistin use in livestock needs an overall approach that includes not only colistin use reduction but also the reduction of all antibiotic use.

Keyphrases: Carbapenemase, Colistin, Extended-spectrum β-lactamase, mcr-1 Gene
Introspection créatrice et comédie humaine. Proust, Balzac et Bergson

En analysant la place que prend Honoré de Balzac dans l’œuvre proustienne, cet article souhaite établir une comparaison stylistique entre l’auteur de la « Comédie humaine » et celui de « À la recherche du temps perdu ». Le roman de Marcel Proust est riche des enseignements de l’entreprise balzacienne, ce qui ne veut pas dire qu’il ne tentera pas de la dépasser, au contraire. À l’aide du philosophe Henri Bergson, particulièrement avec son ouvrage « Le Rire », sera ainsi expliquée la différence esthétique, voire poétique, entre les écrits de Balzac et ceux de Proust, le second reprenant le grand projet réaliste du premier pour le réfracter dans l’introspection créatrice de son héros-narrateur, ce qui fait de la « Recherche » une comédie humaine intérieure. Considering Honoré de Balzac’s place in the works of Marcel Proust, this paper wishes to establish a stylistic comparison between the author of “The Human Comedy”, and that of “In Search of Lost Time” (also translated as “Remembrance of things past”). Proust’s novel is full of Balzac’s lessons, which, however, does not mean he will not try to surpass Balzac’s undertaking, in his own way. Through the philosopher Henri Bergson, especially with his book Laughter, will be explained the aesthetic difference between Balzac’s and Proust’s writings. Proust is taking up Balzac’s major realistic project, but refracting it in the creative introspection of his hero, making “In Search of Lost Time” an all-personal human comedy.

Keyphrases: Balzac, Honoré de, À la recherche du temps perdu, Comédie humaine, Proust, Marcel, Bergson, Henri
Performance auctoriale et dispositif littéraire. Autour de « Pourquoi Bologne » d’Alain Farah

[Introduction] Dans une salle de classe de l’Université McGill, à Montréal, un jeune professeur en costume donne une séance de cours. Une cigarette électronique K808 Turbo Voluptueuse est posée sur son bureau pendant qu’il parle tantôt de littérature, tantôt des rapports conflictuels qu’il entretient avec sa mère. Ce professeur s’appelle Alain Farah et il est aussi écrivain. Il a publié un recueil de poésie, « Quelque chose se détache du port », avant de faire paraître son premier roman, « Matamore no 29 », suivi quelque temps plus tard de « Pourquoi Bologne ». [...]

Keyphrases: Farah, Alain, Pourquoi Bologne, Auteurs et auctorialité, Performativité, Littérature québécoise, Théorie de la littérature, Easter egg, Transmédialité