Le début des années 1980 marque un accroissement de l'attention portée à l'homme au sein des entreprises et précipite la nécessité pour ces dernières de trouver des outils performants permettant de mobiliser les salariés. Utilisé à la fois comme un outil et un modèle, le sport apparaît aujourd'hui comme un élément essentiel à intégrer dans le cadre d'une politique de communication interne. Ses propriétés physiques et symboliques constituent autant de références sur lesquelles de nombreuses entreprises bâtissent leur stratégie managériale. L'objet de cet article est circonscrit à l'utilisation du sport en interne comme outil de mobilisation du personnel. À la lumière de l'étude d'un cas particulier, en l'occurrence l'analyse de la société Adidas France, ce travail de recherche propose d'analyser les discours des dirigeants à propos de cet avantage social, ainsi que la réception de cette rhétorique managériale par une cible particulière, à savoir les cadres.
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Wrinkles or creases are common structures on surfaces. Their detection is often challenging, and can be an important step for many different applications. For instance, skin wrinkle segmentation is a crucial step for quantifying changes in skin wrinkling and assessing the beneficial effects of dermatological and cosmetic anti-ageing treatments. A 2.5D approach is proposed in this paper to segment individual wrinkles on facial skin surface described by 3D point clouds. The method, based on mathematical morphology, only needs a few physical parameters as input, namely the maximum wrinkle width, the minimum wrinkle length, and the minimum wrinkle depth. It has been applied to data acquired from eye wrinkles using a fringe projection system. An accurate evaluation was made possible thanks to manual annotations provided by three different experts. Results demonstrate the accuracy of this novel method.
ImportanceGeneral anesthesia and procedural sedation are common practice for mechanical thrombectomy in acute ischemic stroke. However, risks and benefits of each strategy are unclear.ObjectiveTo determine whether general anesthesia or procedural sedation for anterior circulation large-vessel occlusion acute ischemic stroke thrombectomy are associated with a difference in periprocedural complications and 3-month functional outcome.Design, Setting, and ParticipantsThis open-label, blinded end point randomized clinical trial was conducted between August 2017 and February 2020, with final follow-up in May 2020, at 10 centers in France.Adults with occlusion of the intracranial internal carotid artery and/or the proximal middle cerebral artery treated with thrombectomy were enrolled.InterventionsPatients were assigned to receive general anesthesia with tracheal intubation (n = 135) or procedural sedation (n = 138).Main Outcomes and MeasuresThe prespecified primary composite outcome was functional independence (a score of 0 to 2 on the modified Rankin Scale, which ranges from 0 [no neurologic disability] to 6 [death]) at 90 days and absence of major periprocedural complications (procedure-related serious adverse events, pneumonia, myocardial infarction, cardiogenic acute pulmonary edema, or malignant stroke) at 7 days.ResultsAmong 273 patients evaluable for the primary outcome in the modified intention-to-treat population, 142 (52.0%) were women, and the mean (SD) age was 71.6 (13.8) years. The primary outcome occurred in 38 of 135 patients (28.2%) assigned to general anesthesia and in 50 of 138 patients (36.2%) assigned to procedural sedation (absolute difference, 8.1 percentage points; 95% CI, −2.3 to 19.1; P = .15). At 90 days, the rate of patients achieving functional independence was 33.3% (45 of 135) with general anesthesia and 39.1% (54 of 138) with procedural sedation (relative risk, 1.18; 95% CI, 0.86-1.61; P = .32). The rate of patients without major periprocedural complications at 7 days was 65.9% (89 of 135) with general anesthesia and 67.4% (93 of 138) with procedural sedation (relative risk, 1.02; 95% CI, 0.86-1.21; P = .80).Conclusions and RelevanceIn patients treated with mechanical thrombectomy for anterior circulation acute ischemic stroke, general anesthesia and procedural sedation were associated with similar rates of functional independence and major periprocedural complications.Trial RegistrationClinicalTrials.gov Identifier: NCT03229148
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