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Dans un contexte qualifié d’ « économie du savoir », où la croissance de l’économie mondiale repose de plus en plus sur les activités intensives en connaissance, la thèse s’interroge sur la capacité de deux petits États insulaires en développement – Maurice et Trinidad – à s’adapter pour s'intégrer à cette dynamique. Ces anciennes colonies britanniques, membres du Commonwealth depuis leur accession à l'indépendance dans les années soixante, font état d’indicateurs de développement en constante progression et sont souvent considérées comme des modèles de réussite économique. La thèse étudie la mise en place des institutions dans ces pays et cherche à évaluer dans quelle mesure l’héritage de la période coloniale, à travers la trace qu'ils en conservent dans la période contemporaine, peut faciliter la transition de leurs économies vers les secteurs intensifs en savoir. Pour ce faire, elle retrace leur trajectoire de développement institutionnel et économique des origines jusqu’à nos jours et elle s’intéresse notamment aux mesures prises aujourd’hui pour doter le pays du cadre nécessaire à l’économie de la connaissance, en particulier à travers le rôle de l’enseignement supérieur en tant qu’outil fondamental pour former le capital humain. Tout en reconnaissant que certains des atouts dont disposent les deux pays pour s’engager dans ce processus avec succès peuvent être mis en relation avec leur passé colonial, la thèse approfondit l’hypothèse que leur transformation en économies de la connaissance risque aussi d'être entravée par des caractéristiques héritées de cette période et qui, des décennies après l'accession à l'indépendance, freinent une large diffusion de la connaissance au sein de leur population. / At a time when economic growth is thought to be driven primarily by knowledge, the purpose of this research is to analyse to what extent two Small Island Developing States – Mauritius and Trinidad – are adequately equipped for this new economic context. As former British colonies, they both joined the Commonwealth upon gaining independence in the nineteen-sixties and they have since largely succeeded in overcoming their initially unfavourable conditions. Today, their good political, economic and social development is widely acknowledged. The main focus of this research is to evaluate how far colonial legacy, which is still visible in the contemporary institutions of both these states, can favour the transition they wish to undertake towards knowledge-intensive activities as drivers of economic growth. For this purpose, the research analyses the development trajectory followed by their institutions and their economy spanning the whole period of their colonial and post-independence history; additionally, this research considers the steps which are undertaken nowadays to build the framework required to foster a knowledge economy by studying more specifically the role of higher education as an essential tool for human capital formation. While upholding that some of the assets which could help them achieve their objectives can be linked to their colonial past, the research contends that the transformation of these two countries into knowledge-based economies could be hindered by the legacy of colonisation on some of their current features and which, decades after gaining independence, impedes the widespread diffusion of knowledge amongst their population.

Les mouvements périodiques des jambes sont de courts mouvements involontaires qui surviennent de façon périodique au cours du sommeil ou de l’éveil. Ils sont présents dans certains troubles du sommeil, mais également chez des sujets sans plainte reliée au sommeil. Le premier objectif de cette thèse visait une meilleure description de la prévalence de ces mouvements. Nous avons montré que chez les sujets sans plainte de sommeil, la prévalence des mouvements périodiques des jambes en sommeil augmentait de façon importante à partir d’environ 40 ans, tandis que l’index des mouvements périodiques des jambes à l’éveil évoluait avec l’âge selon une courbe en U. Chez les sujets atteints de narcolepsie, on retrouvait davantage de mouvements périodiques des jambes que chez les sujets témoins, mais leur patron d’évolution avec l’âge était similaire. Le deuxième objectif de cette thèse visait l’étude des mouvements périodiques des jambes en relation avec le système nerveux autonome cardiovasculaire. Nous avons non seulement confirmé la présence d’une tachycardie suivie d’une bradycardie lors des mouvements périodiques des jambes durant le sommeil chez les patients atteints du syndrome d’impatiences musculaires à l’éveil et chez les sujets sans plainte de sommeil, mais nous avons également décrit ces mêmes changements de la fréquence cardiaque, quoiqu’avec une plus faible amplitude, chez les sujets atteints de narcolepsie. Finalement, nous avons montré pour la première fois que les mouvements périodiques des jambes en sommeil des sujets atteints du syndrome d’impatiences musculaires à l’éveil et des sujets sans plainte de sommeil étaient aussi associés à des augmentations importantes et significatives de la pression artérielle. / Periodic leg movements are short involuntary movements occurring periodically during sleep or wakefulness. They occur in some sleep disorders, but also in healthy subjects not complaining of sleep problems. The first objective of this thesis was to provide a better description of the prevalence of these movements. In healthy non-complaining subjects, the prevalence of periodic leg movements during sleep increased dramatically from about age 40, whereas the age-related evolution of periodic leg movements during wakefulness followed a U curve. In narcoleptic patients there were more periodic leg movements than in control subjects, but their evolution with age showed the same pattern. The second objective of this thesis was to study periodic leg movements in relationship with cardiovascular autonomic nervous system. We not only confirmed that periodic leg movements during sleep were associated with a tachycardia followed by a bradycardia in restless legs syndrome patients and in healthy non-complaining subjects, but that these heart rate changes were also present in narcoleptic patients, albeit of a lower amplitude. Finally, we showed for the first time that periodic leg movements during sleep in restless legs syndrome patients and in healthy non-complaining subjects were also associated with significant and important rises of blood pressure.

Endocrine and Metabolic Aspects of Various Sleep Disorders MUDr. Zuzana Vimmerová Lattová Abstract: Recent epidemiological and experimental data suggest a negative influence of shortened or disturbed night sleep on glucose tolerance. However, no comparative studies of glucose metabolism have been conducted in clinical sleep disorders. Dysfunction of the HPA axis may play a causative role in some sleep disorders and in other sleep disorders it may be secondary to the sleep disorder. Moreover, dysfunction of the HPA axis is regarded as a possible causative factor for the impaired glucose sensitivity associated with disturbed sleep. However, data on HPA system activity in sleep disorders are sparse and conflicting. We studied 25 obstructive sleep apnea (OSA) patients, 18 restless legs syndrome (RLS) patients, 21 patients with primary insomnia and compared them to 33 healthy controls. We performed oral glucose tolerance test and assessed additional parameters of glucose metabolism. The dynamic response of the HPA system was assessed by the DEX-CRH-test which combines suppression (dexamethasone) and stimulation (CRH) of the stress hormone system. Compared to controls, increased rates of impaired glucose tolerance were found in OSA (OR: 4.9) and RLS (OR: 4.7), but not in primary insomnia. In addition, HbA1c...

Thermoelectric generators (TEG) are re-emerging technology that can be used to recover heat waste from commercial and industrial processes to generate electricity, enhancing fuel utilization and lowering greenhouse gas emissions. TEG modules are solid-state heat engines that produce no noise or vibration during operation. Notably, TEG modules are also able to operate at low-temperature differences, which makes them ideal for a wide range of heat waste recovery applications. Annular thermoelectric generator (ATEG) modules are optimal in applications where either the heat source or sink are round in shape. Bi2Te3 solution-based compounds are of significant interest in the application of thermoelectric materials (TE) used in low-temperature cooling and power generation applications. The main objective of the current work is to design a mechanically reliable ring-shaped ATEG module with a predictable performance using spark plasma sintered Bi2Te3 TE material for low temperature waste heat recovery applications. In terms of structure, this work is divided into two parts. The first part investigates how the use of a powder pre-treatment technique affects the mechanical and thermoelectric properties of P- and N-type Bi2Te3. In addition, part one also presents the measurements of these materials’ mechanical and thermoelectric properties, which serve as inputs for the finite element models used to design thermoelectric modules with parallel and perpendicular configurations vis-a-vis the sintering pressing direction. The second part evaluates the thermoelectric performance and thermal stresses of a ring-shaped ATEG couple that has been integrated between hot-side and cold-side heat exchangers. To this end, two configurations are compared with respect to their heat/electrical current flow paths: one that allows for radial flow (radial configuration), and one that allows for axial flow (axial configuration). The P- and N-type Bi2Te3 powder was treated using a mechanically agitated fluidized powder reduction facility that was built in-house. The characteristic uniaxial tensile strength of the P-type Bi0.4Sb1.6Te3 increased from 13.9 MPa to 26.3 MPa parallel to the sintering pressure, and from 16.3 MPa to 30.6 MPa perpendicular to the sintering pressure following oxide reduction using 5% H2 ˗ 95% Ar at 380 ℃ for 24 h. The figure of merit, ZT, increased from 0.35 to 0.80 and from 0.42 to 1.13 at room temperature (25 ℃) in the parallel and the perpendicular directions, respectively, after the surface oxide reduction treatment. On the other hand, the annealing effects of the oxide reduction pr-treatment of the N-type (Bi0.95 Sb0.05)2(Se0.05 Te0.95)3 using 5% H2 ˗ 95% Ar at 380 ℃ for 24 h were found to be responsible for the majority of the mechanical properties and ZT enhancement. Additionally, the characteristic uniaxial tensile strengths for this material increased from 30.4 to 34.1 MPa and from 30.8 to 38 MPa in the parallel and the perpendicular directions, respectively. The ZTmax (150 ℃) increased from 0.54 to 0.63 in both the parallel and perpendicular directions due to oxide reduction, while annealing led to an increase to 0.58 and 0.62 in the parallel and the perpendicular directions, respectively. An analytical model was constructed to compare the thermoelectric performance of the two configurations under three different hot-side thermal resistances, and a 3D coupled finite element ANSYS model was constructed to study and compare the thermal stresses of the two configurations at different dimensions. The two models were then used to create 2D maps in order to investigate the effects of ATEG couple configuration and dimensions, as well as the hot-side thermal resistance, with the goal of identifying the optimum design. The optimization of module geometry requires a trade-off between performance and mechanical reliability. The results of these investigations showed that increases in the temperature difference across the ATEG couple (ΔT) led to increases in both power and thermal stresses in both configurations. When both configurations were generating the same power at ΔT = 105 ℃, the thermal stresses in the radial configuration were as much as 67 MPa higher than those in the axial configuration due to the formation of additional tensile hoop stresses. The lowest thermal stress obtained for the axial couple configuration was 67.8 MPa, which was achieved when the couple had an outer diameter of 16 mm, an axial thickness of 1 mm, a ΔT of 14.8 ℃, and power generation of 10.4 mW per couple. The maximum thermal stress values were located at the corners of the interface between the solder and the TE rings due to the mismatched coefficient of thermal expansion. This thesis makes a novel contribution to the state-of-the-art literature in ring-shaped ATEG modules, as it details a well-characterised spark plasma sintered Bi2Te3 TE material and a methodology for designing a ring-shaped ATEG module with reliable, robust, and predictable thermoelectric and mechanical performance. The details of the contribution made by this work have been disseminated in the form of three journal publications, which have been integrated into this sandwich Ph.D. thesis. / Thesis / Doctor of Science (PhD)