• Aucun résultat trouvé

État des lieux sur une pratique courante : le sondage urinaire évacuateur en salle de naissance

N/A
N/A
Protected

Academic year: 2021

Partager "État des lieux sur une pratique courante : le sondage urinaire évacuateur en salle de naissance"

Copied!
67
0
0

Texte intégral

(1)État des lieux sur une pratique courante : le sondage urinaire évacuateur en salle de naissance Gersende Teissere. To cite this version: Gersende Teissere. État des lieux sur une pratique courante : le sondage urinaire évacuateur en salle de naissance. Gynécologie et obstétrique. 2011. �dumas-00626138�. HAL Id: dumas-00626138 https://dumas.ccsd.cnrs.fr/dumas-00626138 Submitted on 30 Sep 2011. HAL is a multi-disciplinary open access archive for the deposit and dissemination of scientific research documents, whether they are published or not. The documents may come from teaching and research institutions in France or abroad, or from public or private research centers.. L’archive ouverte pluridisciplinaire HAL, est destinée au dépôt et à la diffusion de documents scientifiques de niveau recherche, publiés ou non, émanant des établissements d’enseignement et de recherche français ou étrangers, des laboratoires publics ou privés..

(2)  

(3)   

(4) .      

(5)  . 

(6)     

(7)  

(8)   

(9)  

(10) 

(11) 

(12) 

(13)  

(14)

(15) .    

(16)  .     !" #$. %& '  

(17)   &&& () .

(18) 

(19)                . !     "    .           . #      . .

(20)    *   % % ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++,  %' "++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++, + +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++, +( -+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++# +. "   /+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++) +0 1/  ' "   2 ++++++++++++++++++++++++++(. ( %'1/ " +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++( (+ 3432  '1/ "   1 /++++++++++++++++++++( (+( 1/ "  /52++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++. (+. 1/ " "  2++++++++++++++++++++++++++++++++++++++++++++++++++++++++++0 (+0 %'1/ "  "  /"/3++++++++++++++++++++++++++++++++++++++++++++++++++++++#. .+ 6" " 2 " -/""    /+++++++++++++++(. .+ % /7++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++(. .+( % /36" +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++(.. 0+ % 2 1   6"  +++++++++++++++++++++++++++++++++++++++++++++++++++++++(8 0+ 9  2 1 "  /5" :  -  1/ /  24/2 56"<++++++++++++++++++++++++++++++++(8 0+( % 2 1   1 /"++++++++++++++++++++++++++++++++++++++++++(, 0+. % 2 1  '-"  6" 1++++++++(.    32++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++($ + &5!/1  /-+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++($ +( 56"+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++(# +. =43>++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++(# +0 " "+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++(# +8 9> "+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.) +, &" 6"++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.( ( % "+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.. (+ 1   " "+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.. (+( / /"7++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.0 (+. /"  6" 1/"7   2 +++++++++++++++++++++++++++++++++.8 (+0 /"  6" 1/"7   -+++++++++++++++++++++++++++++++++++++++++.,. .

(21) (+8 " " -+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++. (+,  " ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++0 (+ % "  /"/3+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++0. (+$ 2 25 "    /32    / ++++++++++++++++++++08 (+# 2 "  "  /"/3++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++0,.  9. &++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++8 9&9% &++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++8# ??%&

(22) =+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++,). .

(23) 9  @/   / @" 17  " " 6" /" 11/"   2 1+.    /  2 1  "- /" " 2 -/""+ 9/ @76"  /  / @" 2 "   -+  @2 @" 2 -1 : 6" @1/A 5 6"@: " -"    " 2 : "+ 9   :   2 -/  1 6" @1/ "    1/ / /3B  //"/3+  7/   6"@"A "   @ 6" / 6"  > 1 +  " " /2 6" / 2   5+   -   7// 1  - " /  " "3 "7 /C "  /  / 2 1 @   6"+. . " >  // : " -"   "A ". 5 @  @ "   /1/   2A @1/ "   2   "  /"/3A " "  6" " 2 -/""    / " " "- "  /   2 1   6"  + "   "   " /-  "     " / 3 "-  "+ 1 " /"  /  5-  " //"+. .

(24)  .  [A (A 0]  2 /36" "  C     /" /  2  // 1  @+ % 2 1      2  4  // 346" 6"@ 6"+. " "  :   5  @ "A "    5+  /A   -  ">A 6" "  A /  -"7 6" -  !  1/ "   -+  @4 ! > " 2 !  "A   F   @ " 1"7 -/ @"+  / "  - 6"   -  @"   /+ " @"> 6" /" @" : @7"   /+   /" /3B  1+. %  -  "> 1 " :   5 6" > " / -/  -"7 6"+

(25) 5 //- - @-A  !  @">  1 "   -  1/ "   -A     / "G"7 G-/"7 @>  -+  >A   "   " /" " +   "    @"" "  2 2A /   >+      -/  " -/  -+. % -  " -   1   @  + %6"@  -  " /  1/ H  1/ "" IFJA  1/ "  1"A   1/ " I5J+ % 1/ ""  /"-     "+ %  " 2 " / "  " 2 5/  6" "  - : @5/ H /@ @"6"A -2 54  @K+ % 1/  1"  >  "5A  5    1/ +    1"  "-  / -/ 6" /"6" -/ @">+ %6"  -    - -K  ">-   1/ ""+. .

(26) %    - /  "6""  A "  "/" /7   "   3+. % "6""  "  + & " 2" "7  H  / M  "6""  /""  5"7 -"7   2 -/ :  5+ % 1/  "7 ">  " " 1   - : ( " . /  >   3 " /+   6"    "  - 5 6"A 2  (A8 / H  5  "+ % / -/  5    ""7  3" /" " 2 :  1/ "   -A  2 -/+ % 2 /" "  17   "6""   / "  5    7+. %  "/"   -  1  15 "/"     A I7 2"A 4 //"   71J H. •. % 1/"7 7  2""7 / @" 1/" -  " 1/" + % 1/" - @  @"6" : @">+ % 1/"  / "    "7   6"  "  -  @">  "  //-  >+. •. % 1/"7 4  "  //" 1  "7 "/" "  3"  5 N. •. %    " " "/" 71  @2 /-2 -  /+  1 :  5 " 2 "/" H  "+ % "7 2 ""  / 2 / "   "> 6" > 56"    -/A   " !  11 " +8 /   F   @ " 1"7 -/  @"+ %@2 1"  @"   @">A B   //+.   //1/ "   -  /-   O //-  > 6" 1  "    " 1/" 2" A 6"    >   "  @">+ % //1/ " P @2 1" " " 6" 1 "  "6"" " 5" " "2  " / -"7 @ : @"-"  @" "+ % / /  4> 32+ % 3/  .

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

(28) "/"  2" 2" ""  @">  " -2   / -"-+. " -" "  /" " A   "  "    " I" " 2JA   -  /   >  -5" " -2+. +( -. %@ -/ 3/  -   7" 3426"   1 3"7 +. +(+ - /. % 7" 3426"  :  -  " 3/ A " "5 - 436"  436"+. •. - 436". % 15  22  2 " /"    "5/ 2 " " -"  2  %(+ % 15 22  /3 436" 5   "7 /"/ 5/A -  22  4 1    " " 1  1 /36" -+ 9"7 / @// "  2  " 1 "  -"A  1 /+ 9" /  -   "7 /A  1 3426"A 6"   : @2  "" " 7" 3426" 1"+  / -"A 5"/"  15 /32 " 4 -/  "  22A @"  ! "  " 26" "   7" -/"7+ % /" 5S  5A "" " -" " F -/A  6"  /" 3  "F / " -" " 2   @"> 7+ % 436" 26" 3/5  7/" "  2A  /   3/    " 11 /    "  22 436"+ % 1 3426"   1     " 2 -/+.

(29) •. - 436". % 15  22 436" -   "5/ 2 "  2 ( . 0+     1 /36" -+ 9"7G/   2   7" 3426" 1"+ % 436" - 7/     5 @/4/3A 6" 2 "  /" "/6"+ % 436" /  7/" " "  35"  15 "/"  " /+   5   3 46"  O-/"+. •. - 6".  "7 3/ "     :  "/""  A  -  2 ( . .        1 3"7 . +(+( - -.  7  /" -5  5A 5    " 5 @"+ % - -" "  1 /"  3"7  !"6"@:   / M   5"    / "A    1/"7 36"+. % /  / " / 17  " " / -+  7  2 /36" 6"   2" " /F /+  7 " / / 1 " -" " /7 /5A  / " //"7A  / " / /5 I "    "5/ 6" " " F    /   "   3/   J   /   /-+. +. "   / [A)]. % /  " / 17  - /F 5" : @-/" /> " /" -/+. % -    !"6"@: / .)) : 0))  @"  6" .

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

(31) 436"  " S/3 436"+. +0 1/  @ "   2 [#A]. " /"   2  5"7 /32 6"  3426" "/3 '5  ' ". %'"" 2-  5 '" 1   - -/ 2   5  /32  /"5" " 2 6" - /-7+ 9/  " /6"/ " "- -2 -/  @7/  "  /+  "  " " -"   -  @ @" U".   3426"   - 7//A 6" 5" > , : )   2A 7  "  #)V  / " .> +   " : " 5"/ /6"   - 7//  '"" 2-  : '11 47   2 "  "/""   '">   /- 4 //+ 9   " 6" :  " 1   7 "   '11 /" " / 2K " '"> 2"/3+ 9 S/3  " /6"/ ' '"  "  1-  1"7  "+ %@2  2> 1-  /2 -/  @3/  2 " @"3"+. "  1/   1/" 1-  "-" @" 1/ "   2+.  !"#$ (+ 3432  @1/ "   1 / [.,A08]. % 1   2 " //   1/ " 6"  3 N 0) : 8)V  1  "  " 1/ " " /"  " 7/ [.,]+ 9/ @76"    15 2"" .

(32)  @">    15 / "> "+ 93B  1 /A  "  1/ 3426" -6" /A @" 1/"  6" "- 1-  "-" @" 1/ H " 5> 2A " /4A " - "26"A " 1/ /-/ -2A " 1  - "A " / @1/ "A  "A  !" S2  6"@" 15 " / /6".  / -1 - R    2 1 " /"  /"   5"  @-  /  " 2S/ :  " 342 6" H " /  / I15A /- - W JA   @-  >A 5  @" 5A  / 16"   /  /K+. (+( 1/ "  /52 %@ 76"  2  @2 2-  2  " 16"  /"+ % 2 "32> -   1 1/ /  -2 7A   '">   -   "+    16"/  "- "  /4 2" H •. $ """ H ) : #8V. •.  5/A  !   %  H 8 : (8V. •. &' " ""   '" H  : 0V. •. % 1/ " : /6"A  " 2" ?A - R 2" @" / -2   6"    (V  /+. 9/  43A  R 5/   /" : @7/  &' " ""   '" 6"    / 32+ % 5"  2  -  1/ " +. $ "  I/5/J  " 5/ 5+ 9@ " / " "5 21  '3+   : " "  " 2    1 5/ 5  '+ 9@ " 5/

(33)  21 /  5"7 2>  @2> /" X : @2 " 4 XA .

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

(36) % /  @.   !" ())$  "   8 !"A "1 "  1"K I"  !"J+ %    /   @52 H •. 7/ I" 5  "  "   2J. •. 7/ / /-"6" I: -  6" @//"/3 J. •. 917 I" 5  "  "   2J. •. 1"K I" 5  "  "   2J. •. -/ I" 5  "  "   2J. •. "137B 3 I: -  "/ "     2J. %   . !"    :  "6"    /+  9?  "-/ $ : ) !" > @R "   /A "- @" 9? "+[.,]. (+.+( % /4 K2".  2/  " " 9? 1   2 /6" "- H U"A 5`" /A " "5  "" 5 5+ %  55  R 5"    "  @52A  " H •. 917. •. " 1"K. % "  / "  5/"    : " /  55 " 1  / -  $ "  - : -  / /"+ %    1  " "7 R /" 6" / "    5/"+   @"  8 !"  /A . !" " . 1"K+ %  /" " :  "6"    /+ .

(37)      " " 1/ " 5 /-   2+  9?  R    $ : ) !" > @R "   6"@" 9? "+[.,] % 9

(38) & / " 9?   0$3 6" "- @R " A " 9?   "  / 6"@ / @1/ /"A " 5 "26" I9? A "  (0 3A BA /J  /   >   "A  " 5" "6"  - 7// "   "  1/   2+[08]. (+.+. % 43. % 2/  43 2"\  1 " " 9?  /  2 /6" @1/ " 3"+  /323  - "  " 7  /37 : 6"  > +[.,] % 43 2"\ 2-6"  "- " 5" 5" -/ " 1>- -   1+ % 2 1/ /  "" 5   -  -A " U"   5`" /A 1  // "+ %   1 5 -6" " -- ""+  1 " "- 7 -/ " 4" A " 1>- A  "" 5 "  // " + % 6"  @9? - " 1>- " "" 5    /3+ % 43 2"\    : (V  2+   : (V  43 2"\ C " /3/ 6"+ %@3 @ " "6" " "  ""+   /37 "  5" 6"  "/  V  /A  43 @//2 @"   2"\ : @ "    6"  7   0$ 3"+ 9 1 @  " R / : " 2  /" " : " 2" : 6"+  // / "  2+. %  5"  -25 "       /> "- H .

(39) . 5/  2  "11/ -/A. . 5/  41/ A. . 5/  / @//"/3 "A. . "-/ 3>  (0 3A. . ? / " A. . ? //> " + %  5"     -  > (0 3" @53 * 11/"    "-/ 3>+.  / @3A      - + %     11/" >    1>-  2-  @9? + %  55 /  H •.  /3  .> 2 I/17A /17J.   1 ->A @!" @"  I2/ " / " 54/J  /   : . !"+ % "   A    :  : @52A  11 5  H •. 7/. •. 7/ / /-"6". •. 917. •. "137B 3. % " "  56"   0 !"+  /F  @9?  / 0$3 >  5" " A   $ :) !" "- @R  6"@" "-/ "+[.,] % 9

(40) & /   " 5 "26"   .  "  "+[08]. % 1/ " / @R -"A    / "     11// " -  //   2 6" "  5"+ % 9

(41) &  " /"   ())  " 6" 2  @9? A "  " /6"  !" 6"  / " 2   5/" 46" - @2 :   @" 9? "   " .

(42) >      :  6" @" 5 "A " 5+[08]. (+0 %@1/ "  "  /"/3. " "  / "7 Z 1/ / "7  [ I J+   1  ())   Comité technique des infections nosocomiales et des infections liées aux soins (CTINILS) I>   A   !"  . J+ %  Z @1/ / [ @  B / /  1  "11  "!" : 5" -/ /" @"5 @" 1/ "7  7/  @   "7  -  3  5+[.8A0 ].  1/   / "7 A   "- " /" " " /" @"   /32 I26"A 3"6"A -A -- " "/-J @"     @  A   /"5 " 5"     /32+ %6" @ 1/"7 " 5"     /32 @  /" /A "  @"  0$ 3" " "  "" :   @/"5  /" // " 1 "  +.  1A @ / @1/ / IJA "   //  " 5  A  /"- 2   -  3  5  +. %@2   " /  1/ / @ 1 2-+  @   "/" I/  /   " /  1/ / W )  @/"" I/  342> 3>J+   /   52A    / a ()) ,  " (, !" ())A 6"   /  " 1A 3 " A  " - 5  : "   /32 /A   "-" @"  "   @5+  "  > /32     "3A  ())0   /  11"  /"   " /     . .

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

(45)  I9% JH •. "  "  2 "- H 1>- I^ .$a9JA  /A U"A 5`" /A " "" " "5A  @5/ @" /"A 1/" " +. •. #.  2 -/  " 5  @5 " H "//4" Ib. )0 "//4TJ  9? 1 Ib ). / 2TJ  " " ( / 2 11A. -/ 2 -/ " " 5  @5 "A  /" " .  !" / H 9? 1 Ib )8 / 2TJ  " " ( / 2 11+[0 ]. % 1/"  6"   "-[ A 00] H. •. " 2 "   - H % 1/" !"   2 -/ : ". •.  32  H 5>A /4 /-A 32 A - "26"A 2 " - "26". •.  15 ">. •. % / @" 1/ "   2+ % /  / 1/" @ - > 21/-  / @//"/3  - 5. •.  //3. •.  /. % " @ 4  @1/ "   "   0A. !"+. .

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

(47) % 2  -  ""  H  A @   2  " R+. % /36"  6" : /      : "A    11+ % 2" "  "-/   -  1/ /      / P @=42> =>  ())#  ,   [8A,] H •. % "  @"   " " 5/ " /     / IZ 4! [" 5/  /3A 6"  "A / /11A   5!"7   A - 5 "  22A /3-"7 /" " /3  -   /3"" - " -A /"  1/ : 4J+. •. %@"  " 1/    1/ "   2  : "2 "6"+  @2 @" 2 : 6" - @1/ "+. •. % 2 " -/"" / "  -"--2  0 +. •. & " "  . •. &  " 1/    1/ >  2+. •.      " /" +. % 1/     -/ " " 34 /6"  "    -5  "+  1" 2 /  -"  " : "A  11   / !"6"@" /32 /+. %@  0   / @" 3  42 -/ " - 6"A " 3  P2A  /32   @  +     /  >2 "- H •. % " "   11// 6" @  5 ". •. /    // / " /36" "  1/  / .

(48) •.   6" " " " " " "6"" . •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c" "  "/ " "7 @ "  " N 2S/ :  1 "  -2  A  -  2 -1   5 " A    "+ A  "-/  1/ /  @7  "A "- 1  6"  .

(49) /5" : @   6"  + % /  1 2 1  " / /- " "  "-/  1/ /   /  " -/+ % 2 1  2 //   / /"  C    + % 1/ /  " /` /6"  /+.  RA     /"5 "    /     / /"7+ %" 1  1- " / :  /-  /3/3+. 0+( % 2 1   1 /". % 1   2 1    : 11/"  2 /36"   /  >2 @342>+. % 2 1  2 " 52  1 /"A   1    a())0 $), " # ` ())0 - :  6"   "56"A /1 : @/ %08.  " 9    "56"  / Z 6"  1 /"  52 " "  2 1  7// [+[8#] % 1 /"  5 " " /3 226"A 1 " @/6"  "-  //  //+ % 1  342> 3>  "     -  1/ /+. %  - " Z - 1 /" [I9J 12"    =  " ( !" ())#  "5" : / 6" //  1 /" -"    " # ` ())0+ % 5!/1  H @-"  6" 1A  1/  //A @   6"    /"  A    /     "56"   C /    + % 9 /" " 52 "  2 1+. .

(50) 0+. % 2 1  @-"  6" 1. %@5!/1  @-"  6" 1 IJ  @   6"  + 9@ " /3 2 @  6" / : / 2">  6" 11/"   " 5"A -/  / 1+ %@ 1 @5! @" / 21 / - : 6"  5  1  + Z % 2 1A 5  @6" 5/A  / //     ]"-   "-  / / @  6" 1   [A 76" +A //  @/  2 1    @   -" 2 1  ()) [(]+  /   H  /37 " 3>A  1  5!/1A  - @" 32  "7 5!/1 17A  1 @"  @/  6"@"   /"/  " "7 -  6"+ "" 7 @    5 H  " " 2A  /  /A  32   -/A  " // : /W Z c" 6"   3> @ "A  2 1   " /" /"5A " 1   /1/   4-/ [+ %@    : @52  1 /"+. %@ > "  -"  //-+   //- 1  2  /" @//   /1/+  11  !  5  > @-"  6" 1  "   " " @//A "   /1/  5  + 9 /" - : "  /"   6"   . .

(51) + 1+#2$($$*. + &5!/1  /-.  5!/1    "   "7 " " 6" /"    /+ " "3 /C  35"  2 1 //  2 -/""   "  // 1/" 6" " "-  "  /"/3+ " -" 1/3 "  6"     5A 1    " 5  + 9 /3 /6" "    6" 1   / 2   / "  /+ 9 - / : 12  /// 1 6" " " : "!" 2  @R  +. +( 56". "" 6"  - / /37 H •.  "  @5- 1    / 6"  6" " 2    - @" 2 1 : @"+. •.  @2 @" 2 -1A B 5    /A 6"  / 5 " 2 "+. •.  7  5" / /  6" @" 2 -/""A "- @!"  " "7 "+. •.  > @1/ "    1/ /  "  /"/3+. •. 9 /37 @/ / 2  " /3 @   6"  +. .

(52) +. =43>. - " / 5- "  "7 343>+ "  " / 6"  2     5 / @342>+ " / 2 6"   "   R " "  "  @"+. =43>  H Z "  2 "  16"   - "   - " 1/ "  "  /"/3 [+. =43> ( H Z % 2   16"   "7  346"+ [. +0 " ". " - /3 " " /5+. 9 "  /-A /-  "/6"     " / 3 "-  "+  "  "   4 //"/3    5 ())+ %    "   / :  @" /" 16"+ 1  /5  " " -   /> "- H •. 9> @/"

(53). "  //"/3 - 5 " 2 " H -  " //3+ •. 9> @7/" H. % 32   -/ /    /32  / 32 /   @"  " : "+ " - 7/" " - 8)  6" "/" 2 -/"" @-  11/" " 6"@" 2 : " -  6"   - -  6"  /  "2/ 5 6" @"  " - 5+ "   "  " %. ($)))+ .

(54) +8 9> ". % "    /A " - "  / "  /" A  2A  1/3  "-/ "  "+ %    /" " " 2 7/A   /  +. >  H Z 1 [.  //  //6"   "A  @2 @" 1 2 /5 IS2  9J  5/ IJ+ %@S2A -5 6"- /" 1  -5 6"- : , / H 8 () A () (8 A (8 .) A .) .8 A .8 0) A 0) 08 +  R " @9  0 / H d$ I2"JA $ (8 I/"/ JA (8 .) I"JA ^.) I5J+ % A -5 6"- /"    " 5" A 1  -5 6"- : ( / H   "+. "7>  H Z / /"7[. 9   @/" "7 //6"   "  1/"  6" /"7  - " 1/ " I"3A 1/ " : A /4A 5>A - "26"J+  @2  -5 6"- : ( / H " G +. >  H Z /"  6" 1/"7   2 [. " /3/3  / @" 1/ "   2  @" 5> 2 I&@ "- ^A0)2T 4 / "   /32  " -  /4/ 24/6" "5J+  @2  .

(55) -5 6"- : ( / H " + 9/ @1/ "   2A  2  /"A     "  @1/  @//"/3+. c">  H Z /"  6" 1/"7   - [.  @2  /"7   /   "  9  %" /  1/ / "    [0#A8)A80A88]+  -   11/ " 1/ "  "  /"/3 "-"  " /7 : 6" 1/"7 " " : " - "  " 6"   "/  2+ 9"7 /   7A " 5  "/3 -2"7 "" : 8A " " @"-"  @]"1 "" : ( 3"A  / @" 1/ -2 " " : @W  @2  -5 6"- : ( / H " G +. 96">  H Z " " - [. " "  / "7 //6" " - IA   //3 " -A "J  "7    - / " 5  2 11/"+ % 3 M  11/"  2   /  2   2+  " /  /" " 1/" /"A  / @" 5347   -   /+ %   " -5 6"- : . / H d .,e,!A . 0)e,!A ^ 0 + %   //3  " -5 6"- : ( / H -  " //3+ % "   -" @   -5 6"- /"+. . 7>  H Z  "  [. % 5  2  /5  /   6"  -"   -"7   "   "-/+ % 5  2  " -5 6"- />+. .

(56) >  H Z "  /"/3 [. " /3/3   @   > /A  /  2 1/ "A  / @" 1/ "    @+ % " " !"  2   /+. % /  2 1/  @" 1/ "   -5 6"- : ( / H " G +. +, &" 6". " - "  2/ /1 7/ ())$  6"  2/  +)+ %  6" "  H •. %   93( "  /  "7 -5 6"-   -/ " "  21/-  8V Id)A)8J+  / @11/1 //" 1" " 2"7 : 8A " - "   7/  3 -/  R "  21/-+. •. %   " "  / @" -5 6"-  @" -5 6"-A -/ " "  21/-  8V 2+. .

(57) (+ )+)##). % " "-  " " "   .0( +. (+ 1   " ". •. 2 H. % 4 @S2   ($A0  I/ 4 H 8A0(JA  -"  /  ,  0( +. •. /   / I-  2J. % 4   (.A I/ 4 H 8A,JA  -"  /  .  88A8+. .

(58) % 1 1 1" " ( 1+. •.  . .    .  . 

(59)   .  .  . .   !. (+( / /"7. .

(60)   " " 5- H 8 "3A  / @1/ " : A ( /4  . 5>+ / 6" "7   "7 1/"  6" H  / @" "3  @1/ " : +. (+. /"  6" 1/"7   2. •. 1/ "   2 H. $ 1 "  .0(  //  8A(,V   " "+ ( @    ( 1/ "   2+ % 5 @1/ 5-  /  ()  " 6"  -"  43+ " @- 5- 6"  /4 2"   5/" 46"+. 9/  2  /"  5   "- H. %@1/ "    ))V  /+ % "  @1/  @//"/3   4  8 !"A -/ " " "  ( !"  " " 7"  (0) !"+ % 5   56" /   2  "" : () "6" " " R 1/ ""  "//1   /+ .

(61)  " 1/   /"   "  " -A  "  2"+ 9@  / @" 9?  /F 0$3 > @R "     " !"    /" 6"  @11  2"+ " / / 6" "     51/ @" 9?  / : 0$3+   !  /  2/  1  " / 2  /@ 2 " 6" /  + %@1   3/  @52        2 1. •. 5> 2

(62). % " / /  5> 2 / 6"  (A)8V   "+. (+0 /"  6" 1/"7   -. "#. $%% %. & '. (% &

(63) 

(64) )

(65) *++&. . . (% &

(66) ,'

(67) )

(68) *++&. . . .

(69) -. /  

(70) 

(71) ,. . . 0

(72) *&,  

(73) *1%

(74) 2/. . . 3&#

(75) 

(76) 4"2. . . $ +&&. !. . $&

(77) + . !. . 0,

(78) % . . . 5,+&

(79) . !. . 0 /  . !. . % -  "/3 -2"7 // :  " 2    /+ " - /5 "  "/3 -2"7A  /3 6" /  /"7 6" "-  ""   /3  "7 6"   " : 6" @1/+. (+8 " " -. •. 2 2 H. % 4 "   //"/3   .#A  I/ 4 H (A)J+ %  -  ($  : 0( +. .

(80) •.   //3 " - H.   "A 0. -   //3 I(A8 VJ  (##   -  I$ A0.VJ+. •. "    /32 H.  @2   "   @-    / : @//"/3+ 9@ /  6"  / " " / +.

(81) 0

(82) 

(83) + 

(84) 7/  8. •. . &. . . $6. . . !. . . % 2 " -/"" H. 9 -"  "   / /+. .

(85) % //6"  2 -/""   -   "- H. 9&'

(86) 

(87) 

(88) 

(89) ,. . &. . . $6. . . . . . " A 0)0 2 "   + I  6"  5  2  3 /- / : " 2 11/"  / 3  / /"7  - " 7/ "  -  11 7"1+J. .

(90) " "  "7 -> -   @" 2  "  2 H. " (# 2 "  (0   3  /   3 /- 1 @5! @" 1  /+. •. /" /"A @5347 H.   " ((A$V If $J  51/ @" 5347   -  -/  / H. .

(91) •. %   -"7 H.

(92) : &

(93) 78. . &. . . $6. . . !. . !. %   -"7 5" :    1"+ 9 /    " 2    /+. (+,  " . •. "  "-/    / H

(94). . &. . . $6. . 0

(95) 7/  8. . . . . •. % 2 " -/"" H. % //6"  2   "-. 5  2. ". 4. 7". / 4. ). )A0(. (. )A8(. .

(96) "   "  " A .$ 1     0)A.8V   " +. •. -> - " 2 H. " / 6" "  0. 2 11/"   "  " ..  !"1  " /   2 1 I(.A)VJ+. •.   -"7 H .

(97) : &

(98) 78. . &. . . $6. . . !. . !. "  6"  1"  " "  "-/ "  " +. (+ % "  /"/3. •.  @   > / H. 0

(99) * &

Références

Documents relatifs

To test whether the vesicular pool of Atat1 promotes the acetyl- ation of -tubulin in MTs, we isolated subcellular fractions from newborn mouse cortices and then assessed

Néanmoins, la dualité des acides (Lewis et Bronsted) est un système dispendieux, dont le recyclage est une opération complexe et par conséquent difficilement applicable à

Cette mutation familiale du gène MME est une substitution d’une base guanine par une base adenine sur le chromosome 3q25.2, ce qui induit un remplacement d’un acide aminé cystéine

En ouvrant cette page avec Netscape composer, vous verrez que le cadre prévu pour accueillir le panoramique a une taille déterminée, choisie par les concepteurs des hyperpaysages

Chaque séance durera deux heures, mais dans la seconde, seule la première heure sera consacrée à l'expérimentation décrite ici ; durant la seconde, les élèves travailleront sur

A time-varying respiratory elastance model is developed with a negative elastic component (E demand ), to describe the driving pressure generated during a patient initiated

The aim of this study was to assess, in three experimental fields representative of the various topoclimatological zones of Luxembourg, the impact of timing of fungicide

Attention to a relation ontology [...] refocuses security discourses to better reflect and appreciate three forms of interconnection that are not sufficiently attended to