Quelles sont les compétences que doit acquérir l'infirmière scolaire pour la gestion du diabète d'un enfant de 4 à 12 ans à l'école ?: une revue de littérature étoffée

L'objectif principal de ce travail est d’identifier les compétences d’une infirmière scolaire face à un enfant diabétique ainsi qu’aux personnes qui l’entourent. De plus, l’objectif second est de trouver des pistes d’action afin d’améliorer la prise en soins de ces enfants et la pratique professionnelle des infirmières scolaires

Static spectropolarimeter concept adapted to space conditions and wide spectrum constraints

The issues related to moving elements in space and instruments working in broader wavelength ranges lead to a need for robust polarimeters, efficient on a wide spectral domain, and adapted to space conditions. As part of the UVMag consortium, created to develop spectropolarimetric UV facilities in space, such as the Arago mission project, we present an innovative concept of static spectropolarimetry. We studied a static and polychromatic method for spectropolarimetry, applicable to stellar physics. Instead of modulating the polarization information temporally, as usually done in spectropolarimeters, the modulation is performed in a spatial direction, orthogonal to the spectral one. Thanks to the proportionality between phase retardance imposed by a birefringent material and its thickness, birefringent wedges can be used to create this spatial modulation. The light is then spectrally cross-dispersed, and a full-Stokes determination of the polarization over the whole spectrum can be obtained with a single-shot measurement. The use of Magnesium Fluoride wedges, for example, could lead to a compact, static polarimeter working at wavelengths from 0.115 mm up to 7 mm. We present the theory and simulations of this concept, as well as laboratory validation and a practical application to Arago.Comment: Article accepted for publication in Applied Optics on 20 July 201

UVMag: Space UV and visible spectropolarimetry

UVMag is a project of a space mission equipped with a high-resolution spectropolarimeter working in the UV and visible range. This M-size mission will be proposed to ESA at its M4 call. The main goal of UVMag is to measure the magnetic fields, winds and environment of all types of stars to reach a better understanding of stellar formation and evolution and of the impact of stellar environment on the surrounding planets. The groundbreaking combination of UV and visible spectropolarimetric observations will allow the scientists to study the stellar surface and its environment simultaneously. The instrumental challenge for this mission is to design a high-resolution space spectropolarimeter measuring the full-Stokes vector of the observed star in a huge spectral domain from 117 nm to 870 nm. This spectral range is the main difficulty because of the dispersion of the optical elements and of birefringence issues in the FUV. As the instrument will be launched into space, the polarimetric module has to be robust and therefore use if possible only static elements. This article presents the different design possibilities for the polarimeter at this point of the project.Comment: 9 pages, 4 figures, SPIE Conference Astronomical Telescopes + Instrumentation Montreal June 201

Redescription of <i>Cercopithifilaria bainae</i> Almeida &amp; Vicente, 1984 (Spirurida, Onchocercidae) from a dog in Sardinia, Italy

Background Three species of the genus Cercopithifilaria have been morphologically and molecularly characterized in dog populations in southern Europe: Cercopithifilaria grassii (Noè, 1907), Cercopithifilaria sp. sensu Otranto et al., 2011 (reported as Cercopithifilaria sp. I), and Cercopithifilaria sp. II sensu Otranto et al., 2012. The adults of Cercopithifilaria sp. I have remained unknown until the present study. Methods The material originated from a dog from Sardinia (Italy) diagnosed with dermal microfilariae of Cercopithifilaria sp. I. The holotype and three paratypes of Cercopithifilaria bainae Almeida &amp; Vicente, 1984, described from dogs in Brazil, were studied as comparative material. A cox1 (~689 bp) and 12S (~330 bp) gene fragments were amplified and phylogenetic analysis carried out. Results The highest numbers of adult nematodes (82%) were collected in the sediment of the subcutaneous tissues of the trunk (n = 37) and forelimbs (n = 36). The morphology of the adult nematodes and microfilariae collected from the dog in Sardinia corresponded to those of C. bainae. All cox1 and 12S gene sequences showed a high homology (99-100%) with sequences from microfilariae of Cercopithifilaria sp. I. Conclusions The morphological and molecular identity of the microfilariae of C. bainae overlap those described previously as Cercopithifilaria sp. sensu Otranto et al., 2011 (=Cercopithifilaria sp. I). Therefore, the present study reports the occurrence of C. bainae in Europe, for the first time after its description and the single record in Brazil. C. bainae appears to be highly diffused in dog populations in southern Europe. The phylogenetic analyses based on cox1 and 12S do not reveal the three species of Cercopithifilaria parasitizing dogs as a monophyletic group, which suggests that they have derived independently by host switching

Both asymmetric mitotic segregation and cell-to-cell invasion are required for stable germline transmission of Wolbachia in filarial nematodes.

Parasitic filarial nematodes that belong to the Onchocercidae family live in mutualism with Wolbachia endosymbionts. We developed whole-mount techniques to follow the segregation patterns of Wolbachia through the somatic and germline lineages of four filarial species. These studies reveal multiple evolutionarily conserved mechanisms that are required for Wolbachia localization to the germline. During the initial embryonic divisions, Wolbachia segregate asymmetrically such that they concentrate in the posteriorly localized P(2) blastomere, a precursor to the adult germline and hypodermal lineages. Surprisingly, in the next division they are excluded from the germline precursor lineage. Rather, they preferentially segregate to the C blastomere, a source of posterior hypodermal cells. Localization to the germline is accomplished by a distinct mechanism in which Wolbachia invade first the somatic gonadal cells close to the ovarian distal tip cell, the nematode stem cell niche, from the hypodermis. This tropism is associated with a cortical F-actin disruption, suggesting an active engulfment. Significantly, germline invasion occurs only in females, explaining the lack of Wolbachia in the male germline. Once in the syncytial environment of the ovaries, Wolbachia rely on the rachis to multiply and disperse into the germ cells. The utilization of cell-to-cell invasion for germline colonization may indicate an ancestral mode of horizontal transfer that preceded the acquisition of the mutualism

Dislocations in French–English bilingual children: an elicitation study

This paper presents the results of two sentence production studies addressing the role of syntactic priming and of language exposure on the phenomenon of cross-linguistic influence (CLI) in bilingual 5-year-olds. We investigated whether French-English bilingual children could be primed to use a topic (i.e. left-dislocation) and whether their performance differed substantially to that of French and English monolinguals. We also examined whether input quantity plays a role on the degree of accessibility of this syntactic construction in the bilinguals’ mind. While the results indicate a significant effect of elicitation condition only in French, they display a positive correlation between input quantity and the likelihood to produce a left-dislocation in both French and English. These findings make a strong case for the role of language exposure as a predictor of CLI. The data also support the recent proposal that CLI is the result of the daily processing of two languages

an interim analysis from the observational, prospective ACTION study

Background The emergence of new therapies for the treatment of rheumatoid arthritis (RA), the paucity of head-to-head studies, and the heterogeneous nature of responses to current biologics highlight the need for the identification of prognostic factors for treatment response and retention in clinical practice. Prognostic factors for patient retention have not been explored thoroughly despite data for abatacept and other biologics being available from national registries. Real-world data from the ACTION study may supplement the findings of randomized controlled trials and show how abatacept is used in clinical practice. The aim of this interim analysis was to identify prognostic factors for abatacept retention in patients with RA who received at least one prior biologic agent. Methods A large, international, non- interventional cohort of patients with moderate-to-severe RA who initiated intravenous abatacept in Canada and Europe (May 2008–January 2011) enrolled in the ACTION study. Potential prognostic factors for retention in this interim analysis (data cut-off February 2012; including patients from Canada, Germany, Greece, and Italy) were baseline demographics and disease characteristics, medical history, and previous and concomitant medication. Clinically relevant variables with p ≤ 0.20 in univariate analysis and no collinearity were entered into a Cox proportional hazards regression model, adjusted for clustered data. Variables with p ≤ 0.10 were retained in the final model (backward selection). Results The multivariate model included 834 patients. Anti-cyclic citrullinated peptide (CCP) antibody positivity (hazard ratio [95 % confidence interval]: 0.55 [0.40, 0.75], p < 0.001), failure of <2 prior anti-tumor necrosis factors (TNFs) (0.71 [0.56, 0.90], p = 0.005 versus ≥2 prior anti-TNFs), and cardiovascular comorbidity at abatacept initiation (0.48 [0.28, 0.83], p = 0.009) were associated with lower risk of abatacept discontinuation. Patients in Greece and Italy were less likely to discontinue abatacept than patients in Germany and Canada (Greece: 0.30 [0.16, 0.58]; Italy: 0.50 [0.33, 0.76]; Canada: 1.04 [0.78, 1.40], p < 0.001 versus Germany). Conclusions Real-world prognostic factors for abatacept retention include anti-CCP positivity and fewer prior anti-TNF failures. Differences in retention rates between countries may reflect differences in healthcare systems. The finding that abatacept has potential advantages in patients with cardiovascular comorbidities needs to be confirmed in further research

Prognostic factors for abatacept retention in patients who received at least one prior biologic agent: an interim analysis from the observational, prospective ACTION study

Background: The emergence of new therapies for the treatment of rheumatoid arthritis (RA), the paucity of head-to-head studies, and the heterogeneous nature of responses to current biologics highlight the need for the identification of prognostic factors for treatment response and retention in clinical practice. Prognostic factors for patient retention have not been explored thoroughly despite data for abatacept and other biologics being available from national registries. Real-world data from the ACTION study may supplement the findings of randomized controlled trials and show how abatacept is used in clinical practice. The aim of this interim analysis was to identify prognostic factors for abatacept retention in patients with RA who received at least one prior biologic agent. Methods: A large, international, non-interventional cohort of patients with moderate-to-severe RA who initiated intravenous abatacept in Canada and Europe (May 2008–January 2011) enrolled in the ACTION study. Potential prognostic factors for retention in this interim analysis (data cut-off February 2012; including patients from Canada, Germany, Greece, and Italy) were baseline demographics and disease characteristics, medical history, and previous and concomitant medication. Clinically relevant variables with p ≤ 0.20 in univariate analysis and no collinearity were entered into a Cox proportional hazards regression model, adjusted for clustered data. Variables with p ≤ 0.10 were retained in the final model (backward selection). Results: The multivariate model included 834 patients. Anti-cyclic citrullinated peptide (CCP) antibody positivity (hazard ratio [95 % confidence interval]: 0.55 [0.40, 0.75], p &lt; 0.001), failure of &lt;2 prior anti-tumor necrosis factors (TNFs) (0.71 [0.56, 0.90], p = 0.005 versus ≥2 prior anti-TNFs), and cardiovascular comorbidity at abatacept initiation (0.48 [0.28, 0.83], p = 0.009) were associated with lower risk of abatacept discontinuation. Patients in Greece and Italy were less likely to discontinue abatacept than patients in Germany and Canada (Greece: 0.30 [0.16, 0.58]; Italy: 0.50 [0.33, 0.76]; Canada: 1.04 [0.78, 1.40], p &lt; 0.001 versus Germany). Conclusions: Real-world prognostic factors for abatacept retention include anti-CCP positivity and fewer prior anti-TNF failures. Differences in retention rates between countries may reflect differences in healthcare systems. The finding that abatacept has potential advantages in patients with cardiovascular comorbidities needs to be confirmed in further research