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Article ; Online: Description du déploiement des compétences professionnelles durant la première année de pratique en ergothérapie

Karine Simard / Martine Brousseau

Revue Francophone de Recherche en Ergothérapie, Vol 3, Iss

perceptions d’ergothérapeutes novices

2017 Volume 1

Abstract: Problématique. Les connaissances présentement disponibles quant au déploiement des compétences professionnelles des ergothérapeutes ont été obtenues dans le cadre d’études réalisées auprès d’ergothérapeutes détenteurs d’un baccalauréat. Alors qu’un ... ...

Abstract	Problématique. Les connaissances présentement disponibles quant au déploiement des compétences professionnelles des ergothérapeutes ont été obtenues dans le cadre d’études réalisées auprès d’ergothérapeutes détenteurs d’un baccalauréat. Alors qu’un diplôme de maîtrise est maintenant exigé au Québec pour accéder à l’exercice de la profession, aucune étude ne s’est intéressée à la perception du déploiement des compétences professionnelles des ergothérapeutes qui en sont détenteurs. Objectif. L’objectif est de décrire la perception du déploiement des compétences professionnelles chez de récents diplômés québécois en ergothérapie détenteurs d’une maîtrise professionnelle. Méthode. Une étude descriptive a été réalisée par sondage électronique. Les répondants proviennent d’un échantillon de convenance et par réseau. Résultats. 27 répondants ont participé à l’étude. De façon générale, la perception du déploiement des compétences est positive. Notamment le fait d’être valorisé et satisfait des réussites des clients, d’obtenir de la reconnaissance des autres professionnels, d’être autonome, de se faire confiance y contribue. Par contre, le fait de ne pas recevoir du soutien d’un ergothérapeute dans le milieu et le fait d’avoir de la difficulté de mettre en pratique la conception idéale de l’ergothérapie, freinent la perception positive des compétences en milieu de travail. Les répondants affirment avoir les compétences pour faire face aux imprévus alors qu’ils perçoivent comme plus difficile de gérer les situations complexes. Discussion. La présente étude apporte des résultats inédits et documente comment des novices détenteurs d’une maîtrise utilisent leurs compétences. Conclusion. La perception des compétences professionnelles par les récents diplômés en ergothérapie est généralement positive.
Keywords	Other systems of medicine ; RZ201-999
Language	French
Publishing date	2017-07-01T00:00:00Z
Publisher	CARAFE - Communauté pour l’Avancement de la Recherche Appliquée Francophone en Ergothérapie
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Women with breast cancer's perceptions of nurse-led telephone-based motivational interviewing consultations to enhance adherence to adjuvant endocrine therapy: a qualitative study.

Gagné, Myriam / Lauzier, Sophie / Lemay, Martine / Loiselle, Carmen G / Provencher, Louise / Simard, Chantale / Guillaumie, Laurence

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer

2022 Volume 30, Issue 6, Page(s) 4759–4768

Abstract: Background: Daily adjuvant endocrine therapy (AET) for 5 or 10 years is the standard of care for women diagnosed with non-metastatic hormone receptor-positive breast cancer. However, many women experience AET-related issues that may hamper quality of ... ...

Abstract	Background: Daily adjuvant endocrine therapy (AET) for 5 or 10 years is the standard of care for women diagnosed with non-metastatic hormone receptor-positive breast cancer. However, many women experience AET-related issues that may hamper quality of life and adherence. Here, we aimed to describe women's perceptions of motivational interviewing (MI)-guided consultations delivered by a trained nurse navigator over the telephone to enhance AET adherence. Methods: Eighteen women who were first prescribed AET for non-metastatic breast cancer in the last 5 years, who self-reported AET-related issues, and who participated in at least two MI-guided consultations over a year were interviewed about their perceptions of the intervention, using a semi-structured interview guide. Audio recordings were transcribed verbatim and analyzed using a thematic analysis approach. Results: Three main themes emerged from the data about women's perceptions on MI-guided consultations. These consultations were described as (1) a person-centred experience, (2) providing key information about AET, and (3) supportive of present and future AET experience, by contributing to AET side-effect management, motivation, adherence, calming negative emotions, improving well-being and self-esteem, and making women to feel empowered. Conclusions: Nurse-led telephone-based MI-guided consultations about AET were found to respond to participants' needs and to enhance participants' perceptions of being informed and being supported in experiencing various facets of AET. Telephone-based consultations for AET are perceived as a promising strategy in an increasing virtual care world.
MeSH term(s)	Breast Neoplasms/drug therapy ; Breast Neoplasms/pathology ; Chemotherapy, Adjuvant ; Female ; Humans ; Medication Adherence/psychology ; Motivational Interviewing ; Nurse's Role ; Quality of Life ; Referral and Consultation ; Telephone ; beta-Aminoethyl Isothiourea/therapeutic use
Chemical Substances	beta-Aminoethyl Isothiourea (151-16-6)
Language	English
Publishing date	2022-02-08
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1134446-5
ISSN	1433-7339 ; 0941-4355
ISSN (online)	1433-7339
ISSN	0941-4355
DOI	10.1007/s00520-021-06692-x
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Article ; Online: The impact of cognitive interventions on cognitive symptoms in idiopathic Parkinson's disease: a systematic review.

Couture, Marianne / Giguère-Rancourt, Ariane / Simard, Martine

Neuropsychology, development, and cognition. Section B, Aging, neuropsychology and cognition

2018 Volume 26, Issue 5, Page(s) 637–659

Abstract: This systematic review addressed efficacy of cognitive stimulation (CS), cognitive training (CT), and cognitive rehabilitation (CR) to improve cognitive functions in Parkinson's disease (PD) with (PD-MCI) and without mild cognitive impairment (PD-H). ... ...

Abstract	This systematic review addressed efficacy of cognitive stimulation (CS), cognitive training (CT), and cognitive rehabilitation (CR) to improve cognitive functions in Parkinson's disease (PD) with (PD-MCI) and without mild cognitive impairment (PD-H). Five databases were searched. Twelve CT, four CS, and a combination of CT with CR were found. PD-H benefited from CT or CS compared to active or passive controls in 42.1% of cognitive tests, and in 33.3% of psychological and functional measures. PD-MCI alone, compared with controls, only improved in 6.9% of cognitive measures after CT. PD-H and PD-MCI, alone or together, somehow improved information processing speed, attention, working memory, executive functions, and visual episodic memory. PD-MCI improved better than PD-H in global cognition and planning abilities. The outcomes suggest some efficacy of cognitive interventions in PD. However, small samples, lack of information regarding standardization of interventions, and poor methodological quality limit results validity and prevent firm conclusions.
MeSH term(s)	Cognitive Dysfunction/etiology ; Cognitive Dysfunction/therapy ; Cognitive Remediation ; Humans ; Outcome Assessment, Health Care ; Parkinson Disease/complications ; Parkinson Disease/therapy
Language	English
Publishing date	2018-09-17
Publishing country	United States
Document type	Journal Article ; Systematic Review
ZDB-ID	1482447-4
ISSN	1744-4128 ; 1382-5585
ISSN (online)	1744-4128
ISSN	1382-5585
DOI	10.1080/13825585.2018.1513450
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Article ; Online: Goal management training and psychoeducation / mindfulness for treatment of executive dysfunction in Parkinson's disease: A feasibility pilot trial.

Giguère-Rancourt, Ariane / Plourde, Marika / Racine, Eva / Couture, Marianne / Langlois, Mélanie / Dupré, Nicolas / Simard, Martine

PloS one

2022 Volume 17, Issue 2, Page(s) e0263108

Abstract: Introduction: As there is currently no pharmacological treatment for Parkinson's Disease Mild Cognitive Impairment (PD-MCI) with executive dysfunctions, specific cognitive interventions must be investigated. Most previous studies have tested bottom-up ... ...

Abstract	Introduction: As there is currently no pharmacological treatment for Parkinson's Disease Mild Cognitive Impairment (PD-MCI) with executive dysfunctions, specific cognitive interventions must be investigated. Most previous studies have tested bottom-up cognitive training programs but have not shown very good results. Objectives: The aim of this study was to test ease of implementation, differential safety and preliminary efficacy of two top-down (strategy-learning) home-based, individualized, cognitive interventions: Goal Management Training (GMT), adapted for PD-MCI (Adapted-GMT), and a psychoeducation program combined with mindfulness exercises (PSYCH-Mind). Methods: This was a single-blind block-randomized between-group comparative study. Twelve PD-MCI with mild executive dysfunctions were divided in four blocks and randomly assigned to any of the two interventions. The participants were included if they had PD-MCI diagnosis (no dementia), with stabilized medication. Both groups (Adapted-GMT and PSYCH-mind) received five intervention sessions each lasting 60-90 minutes for five weeks. Measures were collected at baseline, mid-point, one-week, four-week and 12-week follow-ups. Executive functions were assessed with the Dysexecutive questionnaire (DEX) and the Zoo Map Test (ZMT). Quality of life (QoL) and psychiatric symptoms were also evaluated. Repeated measures ANCOVAs (mixed linear analysis) were applied to all outcomes. Results: There was one drop out, and both interventions were feasible and acceptable. Despite the small sample size limiting statistical power, patients of both groups significantly improved executive functions per the DEX-patient (Time: F(4,36) = 2.96, p = 0.033, CI95%: 10.75-15.23) and DEX-caregiver scores (Time: F(4,36) = 6.02, p = 0.017, CI95%: 9.63-17.23). Both groups significantly made fewer errors between measurement times on the ZMT (Time: F(3,36) = 16.66, p = 0.001, CI95%: 1.07-2.93). However, QoL significantly increased only in PSYCH-Mind patients at four-week follow-up (interaction TimeGroup: F(4,36) = 5.31, p = 0.002, CI95%: 15.33-25.61). Conclusion:* Both interventions were easily implemented and proved to be safe. Because both interventions are arguably cost-effective, these pilot findings, although promising, need to be replicated in large samples. Clinicaltrials.gov identifier: NCT04636541.
MeSH term(s)	Aged ; Caregivers ; Cognitive Dysfunction/complications ; Cognitive Dysfunction/physiopathology ; Cognitive Dysfunction/therapy ; Executive Function ; Feasibility Studies ; Female ; Follow-Up Studies ; Goals ; Humans ; Male ; Middle Aged ; Mindfulness/methods ; Parkinson Disease/complications ; Parkinson Disease/physiopathology ; Parkinson Disease/therapy ; Pilot Projects ; Psychosocial Support Systems ; Quality of Life ; Random Allocation ; Self Report ; Single-Blind Method ; Treatment Outcome
Language	English
Publishing date	2022-02-18
Publishing country	United States
Document type	Clinical Trial ; Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0263108
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Article ; Online: Goal management training and psychoeducation / mindfulness for treatment of executive dysfunction in Parkinson’s disease

Ariane Giguère-Rancourt / Marika Plourde / Eva Racine / Marianne Couture / Mélanie Langlois / Nicolas Dupré / Martine Simard

PLoS ONE, Vol 17, Iss

A feasibility pilot trial

2022 Volume 2

Abstract: Introduction As there is currently no pharmacological treatment for Parkinson’s Disease Mild Cognitive Impairment (PD-MCI) with executive dysfunctions, specific cognitive interventions must be investigated. Most previous studies have tested bottom-up ... ...

Abstract	Introduction As there is currently no pharmacological treatment for Parkinson’s Disease Mild Cognitive Impairment (PD-MCI) with executive dysfunctions, specific cognitive interventions must be investigated. Most previous studies have tested bottom-up cognitive training programs but have not shown very good results. Objectives The aim of this study was to test ease of implementation, differential safety and preliminary efficacy of two top-down (strategy-learning) home-based, individualized, cognitive interventions: Goal Management Training (GMT), adapted for PD-MCI (Adapted-GMT), and a psychoeducation program combined with mindfulness exercises (PSYCH-Mind). Methods This was a single-blind block-randomized between-group comparative study. Twelve PD-MCI with mild executive dysfunctions were divided in four blocks and randomly assigned to any of the two interventions. The participants were included if they had PD-MCI diagnosis (no dementia), with stabilized medication. Both groups (Adapted-GMT and PSYCH-mind) received five intervention sessions each lasting 60–90 minutes for five weeks. Measures were collected at baseline, mid-point, one-week, four-week and 12-week follow-ups. Executive functions were assessed with the Dysexecutive questionnaire (DEX) and the Zoo Map Test (ZMT). Quality of life (QoL) and psychiatric symptoms were also evaluated. Repeated measures ANCOVAs (mixed linear analysis) were applied to all outcomes. Results There was one drop out, and both interventions were feasible and acceptable. Despite the small sample size limiting statistical power, patients of both groups significantly improved executive functions per the DEX-patient (Time: F(4,36) = 2.96, p = 0.033, CI95%: 10.75–15.23) and DEX-caregiver scores (Time: F(4,36) = 6.02, p = 0.017, CI95%: 9.63–17.23). Both groups significantly made fewer errors between measurement times on the ZMT (Time: F(3,36) = 16.66, p = 0.001, CI95%: 1.07–2.93). However, QoL significantly increased only in PSYCH-Mind patients at four-week follow-up (interaction ...
Keywords	Medicine ; R ; Science ; Q
Subject code	150
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Goal management training and psychoeducation / mindfulness for treatment of executive dysfunction in Parkinson's disease

Ariane Giguère-Rancourt / Marika Plourde / Eva Racine / Marianne Couture / Mélanie Langlois / Nicolas Dupré / Martine Simard

PLoS ONE, Vol 17, Iss 2, p e

A feasibility pilot trial.

2022 Volume 0263108

Abstract: Introduction As there is currently no pharmacological treatment for Parkinson's Disease Mild Cognitive Impairment (PD-MCI) with executive dysfunctions, specific cognitive interventions must be investigated. Most previous studies have tested bottom-up ... ...

Abstract	Introduction As there is currently no pharmacological treatment for Parkinson's Disease Mild Cognitive Impairment (PD-MCI) with executive dysfunctions, specific cognitive interventions must be investigated. Most previous studies have tested bottom-up cognitive training programs but have not shown very good results. Objectives The aim of this study was to test ease of implementation, differential safety and preliminary efficacy of two top-down (strategy-learning) home-based, individualized, cognitive interventions: Goal Management Training (GMT), adapted for PD-MCI (Adapted-GMT), and a psychoeducation program combined with mindfulness exercises (PSYCH-Mind). Methods This was a single-blind block-randomized between-group comparative study. Twelve PD-MCI with mild executive dysfunctions were divided in four blocks and randomly assigned to any of the two interventions. The participants were included if they had PD-MCI diagnosis (no dementia), with stabilized medication. Both groups (Adapted-GMT and PSYCH-mind) received five intervention sessions each lasting 60-90 minutes for five weeks. Measures were collected at baseline, mid-point, one-week, four-week and 12-week follow-ups. Executive functions were assessed with the Dysexecutive questionnaire (DEX) and the Zoo Map Test (ZMT). Quality of life (QoL) and psychiatric symptoms were also evaluated. Repeated measures ANCOVAs (mixed linear analysis) were applied to all outcomes. Results There was one drop out, and both interventions were feasible and acceptable. Despite the small sample size limiting statistical power, patients of both groups significantly improved executive functions per the DEX-patient (Time: F(4,36) = 2.96, p = 0.033, CI95%: 10.75-15.23) and DEX-caregiver scores (Time: F(4,36) = 6.02, p = 0.017, CI95%: 9.63-17.23). Both groups significantly made fewer errors between measurement times on the ZMT (Time: F(3,36) = 16.66, p = 0.001, CI95%: 1.07-2.93). However, QoL significantly increased only in PSYCH-Mind patients at four-week follow-up (interaction Time*Group: F(4,36) = 5.31, p = 0.002, CI95%: 15.33-25.61). Conclusion Both interventions were easily implemented and proved to be safe. Because both interventions are arguably cost-effective, these pilot findings, although promising, need to be replicated in large samples. Clinicaltrials.gov identifier NCT04636541.
Keywords	Medicine ; R ; Science ; Q
Subject code	150
Language	English
Publishing date	2022-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Interaction between a J-domain co-chaperone and a specific Argonaute protein contributes to microRNA function in animals.

Frédérick, Pierre-Marc / Jannot, Guillaume / Banville, Isabelle / Simard, Martin J

Nucleic acids research

2024

Abstract: MicroRNAs (miRNAs) are essential regulators of several biological processes. They are loaded onto Argonaute (AGO) proteins to achieve their repressive function, forming the microRNA-Induced Silencing Complex known as miRISC. While several AGO proteins ... ...

Abstract	MicroRNAs (miRNAs) are essential regulators of several biological processes. They are loaded onto Argonaute (AGO) proteins to achieve their repressive function, forming the microRNA-Induced Silencing Complex known as miRISC. While several AGO proteins are expressed in plants and animals, it is still unclear why specific AGOs are strictly binding miRNAs. Here, we identified the co-chaperone DNJ-12 as a new interactor of ALG-1, one of the two major miRNA-specific AGOs in Caenorhabditis elegans. DNJ-12 does not interact with ALG-2, the other major miRNA-specific AGO, and PRG-1 and RDE-1, two AGOs involved in other small RNA pathways, making it a specific actor in ALG-1-dependent miRNA-mediated gene silencing. The loss of DNJ-12 causes developmental defects associated with defective miRNA function. Using the Auxin Inducible Degron system, a powerful tool to acutely degrade proteins in specific tissues, we show that DNJ-12 depletion hampers ALG-1 interaction with HSP70, a chaperone required for miRISC loading in vitro. Moreover, DNJ-12 depletion leads to the decrease of several miRNAs and prevents their loading onto ALG-1. This study uncovers the importance of a co-chaperone for the miRNA function in vivo and provides insights to explain how different small RNAs associate with specific AGO in animals.
Language	English
Publishing date	2024-04-13
Publishing country	England
Document type	Journal Article
ZDB-ID	186809-3
ISSN	1362-4962 ; 1362-4954 ; 0301-5610 ; 0305-1048
ISSN (online)	1362-4962 ; 1362-4954
ISSN	0301-5610 ; 0305-1048
DOI	10.1093/nar/gkae272
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Article: Altered Theory of Mind in Parkinson's Disease and Impact on Caregivers: A Pilot Study.

Giguère-Rancourt, Ariane / Plourde, Marika / Racine, Eva / Couture, Marianne / Langlois, Mélanie / Dupré, Nicolas / Simard, Martine

The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques

2021 Volume 49, Issue 3, Page(s) 437–440

Abstract: Mild cognitive impairment (MCI) in Parkinson's disease (PD) includes deficits in theory of mind (ToM). However, associations between ToM and caregiver burden and distress are still unclear. The objective of this pilot study was to preliminarily explore ... ...

Abstract	Mild cognitive impairment (MCI) in Parkinson's disease (PD) includes deficits in theory of mind (ToM). However, associations between ToM and caregiver burden and distress are still unclear. The objective of this pilot study was to preliminarily explore the relation between ToM and caregiver burden and distress in a sample of PD-MCI patients. Twelve PD-MCI patients were evaluated on a ToM task (Faux Pas), whereas their caregivers were assessed on caregiver burden (Zarit Burden Interview-12 items) and distress (Neuropsychiatric Inventory-Distress). Cognitive ToM was significantly associated with caregiver distress, but caregiver burden was associated with the severity of patient psychiatric symptoms.
MeSH term(s)	Caregivers/psychology ; Cognitive Dysfunction/etiology ; Cost of Illness ; Humans ; Parkinson Disease/psychology ; Pilot Projects ; Theory of Mind
Language	English
Publishing date	2021-05-14
Publishing country	England
Document type	Journal Article
ZDB-ID	197622-9
ISSN	0317-1671
ISSN	0317-1671
DOI	10.1017/cjn.2021.110
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Article ; Online: The influence of vascular risk factors on cognitive function in early Parkinson's disease.

Doiron, Maxime / Langlois, Mélanie / Dupré, Nicolas / Simard, Martine

International journal of geriatric psychiatry

2017 Volume 33, Issue 2, Page(s) 288–297

Abstract: Objectives: Hypertension, dyslipidemia, diabetes, and obesity are well-established risk factors for cognitive impairment and dementia in older adults. In contrast, previous studies that have assessed the impact of vascular risk factors (VRFs) on ... ...

Abstract	Objectives: Hypertension, dyslipidemia, diabetes, and obesity are well-established risk factors for cognitive impairment and dementia in older adults. In contrast, previous studies that have assessed the impact of vascular risk factors (VRFs) on cognition in Parkinson's disease (PD) have had methodological limitations and reported conflicting findings. We address this question in a large well-characterized cohort of de novo PD patients. Methods: A total of 367 untreated and non-demented patients aged 50 years and older with early PD (H&Y = 1.0-2.0) underwent a comprehensive clinical and neuropsychological assessment at baseline and 24 months later. A series of linear mixed models were used to determine the effects of VRFs on cognition while controlling for patient and disease characteristics. The outcomes included norm-referenced Z-scores of global cognition, visuospatial skills, verbal episodic memory, semantic verbal fluency, attention, and working memory tests. Results: A longer history of hypertension and a higher pulse pressure were significant predictors of lower Z-scores on immediate and delayed free recall, recognition, and verbal fluency tests. On average, every 10 mmHg increase in pulse pressure was associated with a 0.08 reduction on the cognitive Z-scores. The effects were independent of age, education, disease duration, motor impairment, medication, and depressive symptoms. Other VRFs were not associated with cognitive outcomes. Conclusions: Our results are consistent with previous studies suggesting that hypertension exerts a detrimental effect on memory and verbal fluency in early PD. Management of blood pressure and cardiovascular health may be important to reduce risk of cognitive decline in PD. Copyright © 2017 John Wiley & Sons, Ltd.
MeSH term(s)	Aged ; Aged, 80 and over ; Attention/physiology ; Blood Pressure/physiology ; Cognition/physiology ; Cognition Disorders/physiopathology ; Cohort Studies ; Dementia/psychology ; Depression ; Female ; Humans ; Hypertension/complications ; Hypertension/physiopathology ; Linear Models ; Male ; Memory/physiology ; Middle Aged ; Neuropsychological Tests ; Parkinson Disease/psychology ; Risk Factors ; Vascular Diseases/complications ; Vascular Diseases/physiopathology ; Verbal Learning/physiology
Language	English
Publishing date	2017-05-16
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	806736-3
ISSN	1099-1166 ; 0885-6230
ISSN (online)	1099-1166
ISSN	0885-6230
DOI	10.1002/gps.4735
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Article ; Online: Urbanité et centralité

Martin Simard

Lucrările Seminarului Geografic "Dimitrie Cantemir", Vol 48, Iss 1, Pp 68-

Le paradoxe des villes moyennes périphériques

2020 Volume 83

Abstract: La ville est souvent décrite comme le lieu de la centralité maximale. Les réseaux matériels et immatériels convergent vers celle-ci alors que la densité généralement forte d’activités, de personnes et d’infrastructures physico-spatiales favorise les ... ...

Abstract	La ville est souvent décrite comme le lieu de la centralité maximale. Les réseaux matériels et immatériels convergent vers celle-ci alors que la densité généralement forte d’activités, de personnes et d’infrastructures physico-spatiales favorise les échanges et les innovations. Cette situation produit des effets attractifs proportionnels à la taille de la ville, effets qui dépassent largement la campagne avoisinante pour s’étendre à l’échelle régionale, voire nationale ou internationale. Dans ce contexte, le concept de ville périphérique peut sembler inapproprié ou même étrange. Pourtant, la question du positionnement d’une ville à l’intérieur d’un système urbain demeure un élément fondamental des études urbaines. Il importe donc de revenir sur le concept de ville périphérique afin de juger de sa pertinence et, le cas échéant, de mieux le définir. S’agit-il d’un paradoxe ? À la suite d’une recherche documentaire et d’une réflexion théorique, nous discuterons de l’exemple de Saguenay (Québec, Canada), ville moyenne située dans un cadre régional périphérique. Cette étude de cas nous permettra de tester une typologie des modes de centralité.
Keywords	systèmes urbains ; villes moyennes ; centralité ; périphéricité ; saguenay ; Geography (General) ; G1-922
Language	English
Publishing date	2020-10-01T00:00:00Z
Publisher	Editura Universităţii "Alexandru Ioan Cuza" Iaşi
Document type	Article ; Online
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