NCube/papyrus huggingface dataset:
Facteurs contextuels influençant l’implantation d’un modèle de hiérarchisation des soins en santé mentale : une étude de cas en milieu montréalais

The purpose of the present study was to compare the care model of one Montreal local territory to the stepped-care model and to investigate factors influencing the implementation of this model. A qualitative case-study approach was employed involving 13 semi-structured interviews with services providers and managers from primary and specialist mental healthcare. Results showed that the hierarchical care model in place in this territory is compared in several points with the stepped-care model. However, some elements of these models have to be integrated to improve efficiency and quality of care, including the introduction of objective evaluation criteria and the specification of evidence-based interventions. Furthermore, some factors influenced the implementation of this hierarchical care model. Thus, the presence of collaborative working and learning strategies were identified to be a key condition. However, some elements must be considered to facilitate its success like the standardization of the referral criteria and process, the clarification of the mental health guichet d’accès (centralized access point) roles and the general practitioners' adherence to the care model. In conclusion, the use of the reference and analysis frames of this study may guide managers on issues to be considered to support the implementation of an evidence-based care model which may facilitate mental healthcare efficiency and its adequacy with the population needs.

Keyphrases: Implementation analysis, Mental healthcare (services), Service delivery and organization, stepped-care model, Mental health
La politique commune des transports aériens de l'Union européenne : compétence partagée ou occupation du terrain?

The purpose of this study is to determine whether air transport in Europe is a shared competence between European Union (EU) and the Member States, or whether it is an a field under the jurisdiction of the EU in this specific area. We will review the EU regulatory framework on air transport in Europe. Initially, we will focus on issues concerning aviation in general in Europe, such as the establishment of a single market for aviation and "open skies" agreements. Then, we will analyze the specific regulatory framework such as the environment, protection of air passengers, the security and safety.

Keyphrases: Air Transportation, European Union Law, Shared Competence, External Competence, Occupation of the Field
Des typologies mécaniques à l'expérience esthétique : fonctions et mutations du genre dans le jeu vidéo

This thesis provides an in-depth examination of the nature and application of the concept of genre for the video game. It is divided in three parts. Part one features an overview of genre theory in literature and film studies. The essential properties of genre as a concept are identified: it is an intuitive and “thumbnail” classification method, discursive rather than systemic in nature, and that owes its existence to a common cultural consensus rather than theoretical divisions. More importantly, the notions of tradition, innovation and hybridity are found to be central to genre.  In part two, these findings are applied to the case of video game genre. A few typologies are examined to show that authoritative classifications are impossible. A model of the development of genres is laid out, based on three modalities: imitation, reiteration and innovation. By studying the history of the first-person shooter, the traditional conception of genre being based on formal mechanics is replaced by a new definition centered on player experience.  Part three details experience as a theoretical concept and places it at the center of a new conception of genre, the pragmatics of generic effects. In this view, any object is a matrix of generic anchors bound to become generic effects, provided the player possesses the generic competences required to recognize them. This new approach is demonstrated through an examination of the survival-horror videogame genre. This case study showcases the potential of the pragmatics of generic effects for other fields, and provides a testimony for the recursion of the questions of genre between the video game, literature, and film.

Keyphrases: Innovation, Video games, Literary genres, Film genres, Genre theory, Experience, Game studies, Semio-pragmatics, Reception, Innovation, Aesthetics
Regards de Sergueï Eisenstein sur l'oeuvre d'Honoré Daumier : une réception méconnue

The aim of this PhD thesis is to cast a new light on Eisenstein's work and thought, by focusing on his privileged relationship with Daumier's art. As we will come across Eisenstein's graphic, theatrical, cinematographical and theoretical work, we will unveil Daumier's still unknown reception in Russia and in U.S.S.R. By the same token, we will expose and discuss Eisenstein's challenging and modern vision of Daumier. The methodology chosen here is necessarily transciplinar.

Keyphrases: Caricature, Transferts culturels, Eisenstein Sergei, Cinema, Intermediality, Cultural transfers
Réfugiés climatiques : statut et traitement

Current works on the forced migration area does not reveal the magnitude of the philosophical  and moral issues raised by the appearance of climate refugees on the international scene . Yet it is urgent to provide protection to them through international agreements. Philosophers who have studied the subject have been misled by both the multiplicity of terms and the lack of definitions. This work criticizes the current trend set by environmental activists who want to include people with various issues under the term of refugee. Trivializing the term of refugee is not only misleading but also dangerous. Eventually, the activists will turn to the Geneva Convention to demand that displaced populations be treated as refugees. But the Geneva Convention is not an appropriate tool to address the plight of these people. Moreover, we can not extend the status of refugees to include those people without losing the credibility and efficiency. Following the path taken by activists would lead us to give equal treatment to climate refugees and political refugees, which is a mistake. Our hypothesis is that the inhabitants of small island countries, in contrast to other populations require a broadening of the Geneva Convention. We shall argue that we have duties and responsibilities to them that we do not have to political refugees. To defend this view, we must clearly define what a climate refugee is and justify this term. We must therefore confront the notion of climate refugee to other competing concepts. Once the terms are defined, we will consider the ethical issues through the prism of global justice issues.  We will see that it is not enough to refer to causal responsibility to determine the members who should address the plight of climate refugees. This will lead us to argue that although attractive, the polluter pays principle is not an appropriate tool to guide our reflection. We will also be led to question the relevance of a global environmental institution.

Keyphrases: philosophy, climate refugees, global ethics, global justice, environmental refugees
La conception herméneutique du langage : pour une mise en dialogue des herméneutiques de Gadamer et Ricoeur

The aim of this thesis is to open a dialogue between the works of Hans-Georg Gadamer and Paul Ricœur in order to reveal the main characteristics of their hermeneutical conception of language and to underline its relevance. Our principal thesis is that it is imperative to go beyond the dichotomous readings of the two works by proposing a more dialectical one, which seems to be the only approach able to grasp the extent, richness and importance of the hermeneutical understanding of language. Thus, in this thesis, we will argue that, beyond their undeniable differences, valuable in themselves since there would be no dialogue without them, the hermeneutics of Gadamer and Ricœur are characterized by a reflection on our primordial belongingness to language, which represents the central focus of their hermeneutical conception of language. We will propose a confrontation of Gadamer’s and Ricœur’s philosophy based on the dialectics of belongingness and distanciation, which will enable us to take into account more objectifying approaches to language and combine them with  the lived experience of language on which hermeneutics puts the emphasis. Before putting this dialectic in motion, we have deemed it appropriate to recall the essential phenomenological heritage out of which Gadamer and Ricœur have developed their respective approaches to language. This basis will allow us to stress the fundamental agreement between the two hermeneuts concerning our irreducible belongingness to language. This accord doesn’t exclude the possibility of dialectically integrating an element of distance into this essential belongingness. On the contrary, it makes it necessary. In this regard, we will argue that it is precisely by virtue of this distanciation that, through a reflective movement, hermeneutical thinking can describe and make explicit our linguistic experience of the world. This hermeneutical reflection on language relies on three main models : those of dialogue, text and translation. We will establish how each of these models contributes to a better understanding of the life of language and our relation to meaning. This will lead us to consider the efforts of Gadamer and Ricœur to shed light on the creative power of language, as it emerges of their several works on metaphor, poetry and narrative. We will defend the thesis that this reflection on semantic innovation and the essential metaphoricity of language leads to an original conception of imagination. This thesis will focus finally on the Gadamerian and Ricœurian accounts of the connections between language and experience, where the ontological dimension of language will be a paramount concern. In this discussion, it will be important to insist on the idea, shared by the two philosophers, that we need to resist any hypostasis or absolutization of language and to think of our linguistic predicament as an opening on being and the possibility to say what is.

Keyphrases: Gadamer, Ricoeur, Philosophy, Hermeneutics, Phenomenology, Language, Gadamer, Ricoeur, Meaning, Ontology, Experience, Poetics
Epithelial-Mesenchymal-Transition : a proposed mechanism in the development of Bronchiolitis Obliterans

For patients with end-stage lung disease, lung transplantation is their only hope for survival. Unfortunately, some of the lung transplant recipients (LTRs) might face obstacles following lung transplantation, one of which is chronic lung transplant rejection also known as bronchiolitis obliterans (BO) histologically and bronchiolitis obliterans syndrome (BOS) clinically. The exact etiology behind BO development remains poorly understood. Speculations have suggested the involvement of epithelial cells in the airway remodeling process leading to airway obstruction. One of the proposed mechanisms is a transitional process, known as epithelial-mesenchymal-transition (EMT). In this process epithelial cells lose their properties and acquire mesenchymal ones causing them to be more mobile and invasive which allow them to take part of the airway remodeling process in BO. Induction of EMT can be due to several factors such as inflammation, apoptosis. In our study we try to detect in vivo the presence of EMT in transbronchial biopsies (TBB) obtained from LTRs and associates it with their clinical conditions. We also try to manipulate and induce EMT in vitro in small airway epithelial cells (SAEC) using conditioned apoptotic (SSC4h) and non apoptotic (ZVAD) media produced from human microvascular endothelial cells (HMVEC) from lung. In addition, we worked on detecting possible mediators such as connective-tissue growth factor (CTGF), transforming growth factor-beta (TGF-β), and perlecan in produced media.

Keyphrases: Lung transplantation, Chronic rejection, Epithelial-mesenchymal-transition, Transbronchial biopsies, Apoptosis
Cru ; suivi de Cruauté nécessaire :  le devoir d'une vérité autobiographique chez Guibert, Dustan et Rémès

A mix between a novel and a personal journal, Cru. is a cross-section between fiction and autobiography. The text, built around a type of writing that is dry and sometimes brutal, presents two gay characters in the « post AIDS » era, who are trying to figure out what it's like to be a man in a social context where contempt (towards others, as well as self-loathing) still exists. Perhaps even more than before, because this contempt is hidden under a false global acceptance.  In the end, Cru. raises questions about the definition of «  truth » in an autobiographical approach and the implication of cruelty in a literary piece that not only concerns the writer, but it's surrounding too.   Cruauté nécessaire : le devoir d'une vérité autobiographique chez Guibert, Dustan et Rémès is an essay that analyses the stakes at work in gay autobiographical writings of the 1990's, especially AIDS-related literature.  If one of the main aspects of autobiography is to disclose the truth, how can we not talk about cruelty when the writers are revealing things that concern not only themselves? If the whole process of autobiography  involves « healing », how can we not see the final product as « painful »?  It will be relevant to first define what we mean by « truth » and « cruelty » (also « good » and « evil »).  Regarding Good and Evil (le Bien et le Mal), Bataille and Nietzsche's writings will help us define two concepts that are, way too often, relative.  When confronting the three French writers that we are studying here – all HIV-positive when writing their texts –  with different theories on autobiography (Doubrovsky, Lejeune, Miraux), identity (Foucault, Schecter, Butler), obligation and responsibility (Donner, Brooks), we will seek to demonstrate that the cruelty used by Guibert, Dustan and Rémès is, in fact, essential to the autobiographical writing process.

Keyphrases: autobiography, cruauté, cruelty, identity, France, XXe siècle, XXth century, Guibert, Dustan, Rémès, Wojnarowicz
Étude des annotations d’un enseignant à la suite de l’enseignement explicite des stratégies de résolution de problèmes mathématiques

The Programme de formation de l’école québécoise (PFEQ) places the student in the center of his learning. The teacher can facilitate the development of the student’s skills by offering a feedback that allows the student to progress in his learning. It is difficult for the teacher’s to make relevant and effective annotations in math, because the emphasis is placed on the concept that was worked on and not on the mathematical process. This is the reason why we decided to concentrate our research on the incidence the teacher’s annotations can have on the development of the student’s mathematical skills.  We opted for a qualitative and collaborative research to experiment an exchange with the teacher and live an inter influence between the practitioner and the researcher. The quality of the subjects was favoured. The teacher was chosen according to the sampling of exemplary case techniques and the students were chosen according to the intentional criteria sampling technique. The research lasted from november till may of the school year 2008-2009. Interviews with the teacher and mini interviews with the students at two moments of the research were used to collect data. We also consulted the corrected work placed in the pupil’s portfolios.  Our study highlights the contribution of strategic teaching of the mathematical approach. The results specify that methodological annotation was mostly used and aims at a better understanding of the student. Furthermore, this type allows the transfer from a situation to another and allows the student to obtain better results.

Keyphrases: annotations, progression, Direct teaching, assessment, feedback, annotation, resolution mathematical problems, student and teacher learning, intervention, role of the student, role of the teacher
Evaluation of a novel transcortical pin-sleeve system in a calf model

Pin loosening is a common complication of transfixation pincasts (TP) in large animals, often necessitating premature removal before fracture healing. The excessive loads centered on the proximo-external and disto-internal cortices of the bone-pin interface cause osteolysis. Using a neonatal calf model, this project evaluated a novel pin-sleeve and ring cast system (PS) optimized to decrease peri-implant strain and evenly share stress at the bone-implant interface. It was hypothesized that PS would result in less peri-implant osteolysis compared to TP. Ten, 3-week-old, healthy calves were implanted with either TP or PS in the right metacarpus, 2 implants per calf. Calves were scored daily for lameness and were euthanized at day 28. Collected data included radiographs at surgery and euthanasia and histomorphometric measures of bone-implant contact on non-decalcified specimens with the implants in situ. Data was analyzed using Cochran-Mantel-Haenszel test; a P-value <.05 was considered significant. The cortical thickness was larger for distal implants than proximal implants for both groups at surgery (P = 0.03), but were similar between groups (P > 0.3). TP calves developed lameness sooner, at day 21, than PS calves (P = 0.04). Histologically, there was more direct cortical bone-implant contact for PS distal implants than TP implants (P = 0.04). The metaphyseal-diaphyseal junction where the proximal implants were situated is unsuitable bone for either system; each had minimal bone-implant contact and extensive osteolysis. The PS system did not cause significant osteolysis when instrumented in diaphyseal bone and is a suitable alternative to TP for comminuted distal limb fractures.

Keyphrases: Calf model, Transfixation pin cast, Peri-implant osteolysis, External skeletal fixation
Facteurs influençant la consolidation et l’apprentissage d’une habileté motrice chez l’humain

Physical practice has long been regarded as the single most determinant factor of motor skill acquisition. Often expressed by the old adage “practice makes perfect,” this idea easily relates to the common observation that extensive practice is necessary to master complex motor skills. Although the importance of physical practice for motor skill learning is undeniable, recent evidence demonstrates that the neurobiological changes that constitute the foundation of memory occur after physical practice. Regrouped under the term “consolidation”, these changes are essential for the memory storage of motor skills. The objective of this thesis was to identify factors that influence motor skill consolidation. Using a visuomotor adaptation task with two levels of difficulty, we showed that a good performance must be attained during practice to trigger certain consolidation processes. In addition, our results indicate that the learner’s subjective evaluation of his/her own performance can also modulate consolidation. Finally, we showed that observation triggers consolidation processes, indicating that consolidation is not exclusive to physical practice. Together, the results presented in this thesis demonstrate that consolidation regroups several distinct processes that each plays an important role for motor skill learning. Physical education teachers, athletic coaches and rehabilitation specialists should therefore plan training schedules favoring not only motor skill acquisition but also motor skill consolidation.

Keyphrases: Consolidation, Observation, Adaptation motrice, Motor learning, Consolidation, Observation, Visuomotor adaptation, Off-line learning, Stabilization
Les effets de la violence organisée sur le processus d'intégration des réfugiés : le cas des Colombiens au Québec

 The armed conflict in Colombia is the third longest conflict in the world after the problem between Palestine and Israel and the one between India and Pakistan. Organized violence that characterizes this conflict has consequences at the individual level (psychological distress, etc.) and the collective (social demobilization by terror, modification of critical thinking, increased common violence).This kind of violence has forced thousands of Colombians into exile. Some of these people come to Quebec as refugees. This study describes and analyzes the effects of organized violence suffered by these persons in Colombia. It links these consequences and the integration of Colombian refugees in a region of Quebec, Haute-Yamaska. The main objective of this master’s thesis is to answer this question: According to the experiences of refugee Colombian victims of organized violence, what are the effects of this experience on their lives today in Quebec? Twelve stories were collected and analyzed based on interviews with Colombian refugees. The results of this study show that refugees need to work out their own identity trough these particular experiences; the presence of withdrawal and isolation as protective mechanisms that occur in their host country; the reproduction, for a minority, of some behaviors that are considered violent in their host country but, in the context of their land of origin, had another meaning. This difference is accompanied by a different tolerance for violence for refugees and the host society. A personal positive attitude in face of difficulties and the support of a family network or friends are enablers of integration. Finally, the effects of a long-term bereavement slow emotional and personal investment in the new country.

Keyphrases: organized violence, refugee, integration, Colombia, Quebec
Banquet festif et banquet macabre : analyse narrative et structurelle d’Ap 19

Due to its constant use of symbolism within a loose narrative framework, John’s Revelation poses a formidable exegetic challenge. Moreover, this book reuses a large amount of Old Testament material while never quoting from the OT. This M.A. thesis posits that Rev 19 is a significant literary unit encased in the larger context of the complex Book of Revelation, although its narrative frame is not closely argued, even displaying some contradictions with other parts of the book. However, on a theological level, a coherent, consistent message can be unveiled, when adding a structural analysis to the narrative analysis. The combination of these two synchronic approaches highlights some striking parallels and describes a plot that talks about the certain achievement of God’s justice, symbolized by the contrast of two feasts, one joyous and the other gruesome. Finally, this research leaves intact the evocative nature of the symbols and advocates an ironic reading of some passages.

Keyphrases: Ap 19, Narration, Justice, Rev 19, Narrative, Irony, Symbolism, Synchronic method, Contradiction, Feast