Participation sociale de jeunes adultes ayant un trouble de l’acquisition de la coordination (TAC) et exploration de leurs besoins en termes de ressources d’information

Problématique : Le trouble de l'acquisition de la coordination (TAC) affecte la réalisation de nombreuses habitudes de vie, autant chez l'enfant que chez l’adulte. Toutefois, peu d’études ont décrit les défis vécus par les jeunes adultes et aucune n’a examiné leurs besoins en termes de ressources d’information. Cette étude exploratoire vise à identifier les principaux défis liés à la participation sociale des jeunes adultes ayant un TAC ainsi que les ressources d’information pouvant les aider. Méthodologie : Des jeunes adultes, âgés entre 18 et 25 ans et ayant un TAC, ainsi que des parents de jeunes adultes correspondant à ces critères ont été recrutés. Un questionnaire inspiré de la Mesure des habitudes de vie (MHAVIE) abrégée a été élaboré en collaboration avec l'Association Québécoise pour les Enfants Dyspraxiques (AQED). Les données obtenues ont été interprétées à l'aide de médianes et d’étendues, et d’une analyse thématique. Résultat : Trois jeunes adultes et trois parents ont participé à cette étude. Le travail est ressorti dans les habitudes de vie les plus atteintes, tant chez les jeunes adultes que chez les parents. Les habitudes de vie les moins satisfaisantes étaient les déplacements selon les jeunes adultes, et le travail et l’habitation selon les parents. Concernant les ressources d'information, les conséquences possibles du TAC sur la santé mentale et les stratégies pour faciliter l'intégration aux études et au travail ont été priorisées par les jeunes adultes et les parents. Le site Internet était la modalité préférée par les jeunes adultes, tandis que les parents privilégiaient le groupe de discussion. Discussion : Malgré le petit échantillon, cette étude a permis d’explorer, pour une première fois au Québec, la participation sociale de jeunes adultes ayant un TAC et leurs besoins en termes de ressources d’information. Ces connaissances permettront de développer une ressource d’information mieux adaptée à cette étape de vie, en collaboration avec l’AQED.Abstract : Problematic: Developmental Coordination Disorder (DCD) affects the realization of many life habits, both with children and adults. However, few studies have described the challenges faced by young adults and none have examined their needs in terms of information resources. The purpose of this exploratory study is to identify the main challenges related to the social participation of young adults with a DCD as well as the information resources that can help them. Methodology: Young adults, aged between 18 and 25 with a DCD, and parents of young adults meeting these criteria were recruited. A survey inspired by the Assessment of Life Habits (LIFE-H) was developed in collaboration with the Quebec Association for Dyspraxic Children. The data obtained was interpreted using medians and scopes, and a thematic analysis. Results: Three young adults and three parents participated in this study. Work came up in the most affected life habits of both young adults and parents. The least satisfactory life habits were travel by young adults, and work and housing by parents. Concerning information resources, young adults and parents prioritize the potential consequences of DCD on mental health and strategies to facilitate integration into school and work. The website was the preferred modality for young adults, while the parents favoured the focus group. Discussion: Despite the small sample, this study explored, for the first time in Quebec, the social participation of young adults with a DCD and their needs in terms of information resources. In collaboration with the Quebec Association for Dyspraxic Children, this knowledge will allow to develop an information resource better adapted to this stage of life

Genetic markers of Restless Legs Syndrome in Parkinson disease

INTRODUCTION: Several studies proposed that Restless Legs Syndrome (RLS) and Parkinson disease (PD) may be clinically and/or etiologically related. To examine this hypothesis, we aimed to determine whether the known RLS genetic markers may be associated with PD risk, as well as with PD subtype. METHODS: Two case-control cohorts from Tel-Aviv and New-York, including 1133 PD patients and 867 controls were genotyped for four RLS-related SNPs in the genes MEIS1, BTBD9, PTPRD and MAP2K5/SKOR1. The association between genotype, PD risk and phenotype was tested using multivariate regression models. RESULTS: None of the tested SNPs was significantly associated with PD risk, neither in any individual cohort nor in the combined analysis after correction for multiple comparisons. The MAP2K5/SKOR1 marker rs12593813 was associated with higher frequency of tremor in the Tel-Aviv cohort (61.0% vs. 46.5%, p = 0.001, dominant model). However, the risk allele for tremor in this gene has been associated with reduced RLS risk. Moreover, this association did not replicate in Tremor-dominant PD patients from New-York. CONCLUSION: RLS genetic risk markers are not associated with increased PD risk or subtype in the current study. Together with previous genetic, neuropathological and epidemiologic studies, our results further strengthen the notion that RLS and PD are likely to be distinct entities

Phenomenology of high-ozone episodes in NE Spain

Ground-level and vertical measurements (performed using tethered and non-tethered balloons), coupled with modelling, of ozone (O3), other gaseous pollutants (NO, NO2, CO, SO2) and aerosols were carried out in the plains (Vic Plain) and valleys of the northern region of the Barcelona metropolitan area (BMA) in July 2015, an area typically recording the highest O3 episodes in Spain. Our results suggest that these very high O3 episodes were originated by three main contributions: (i) the surface fumigation from high O3 reservoir layers located at 1500-3000 m a.g.l. (according to modelling and non-tethered balloon measurements), and originated during the previous day(s) injections of polluted air masses at high altitude; (ii) local/regional photochemical production and transport (at lower heights) from the BMA and the surrounding coastal settlements, into the inland valleys; and (iii) external (to the study area) contributions of both O3 and precursors. These processes gave rise to maximal O3 levels in the inland plains and valleys northwards from the BMA when compared to the higher mountain sites. Thus, a maximum O3 concentration was observed within the lower tropospheric layer, characterised by an upward increase of O3 and black carbon (BC) up to around 100-200 m a.g.l. (reaching up to 300 µg m−3 of O3 as a 10 s average), followed by a decrease of both pollutants at higher altitudes, where BC and O3 concentrations alternate in layers with parallel variations, probably as a consequence of the atmospheric transport from the BMA and the return flows (to the sea) of strata injected at certain heights the previous day(s). At the highest altitudes reached in this study with the tethered balloons (900-1000 m a.g.l.) during the campaign, BC and O3 were often anti-correlated or unrelated, possibly due to a prevailing regional or even hemispheric contribution of O3 at those altitudes. In the central hours of the days a homogeneous O3 distribution was evidenced for the lowest 1 km of the atmosphere, although probably important variations could be expected at higher levels, where the high O3 return strata are injected according to the modelling results and non-tethered balloon data. Relatively low concentrations of ultrafine particles (UFPs) were found during the study, and nucleation episodes were only detected in the boundary layer. Two types of O3 episodes were identified: type A with major exceedances of the O3 information threshold (180 µg m−3 on an hourly basis) caused by a clear daily concatenation of local/regional production with accumulation (at upper levels), fumigation and direct transport from the BMA (closed circulation); and type B with regional O3 production without major recirculation (or fumigation) of the polluted BMA/regional air masses (open circulation), and relatively lower O3 levels, but still exceeding the 8 h averaged health target. To implement potential O3 control and abatement strategies two major key tasks are proposed: (i) meteorological forecasting, from June to August, to predict recirculation episodes so that NOx and VOC abatement measures can be applied before these episodes start; (ii) sensitivity analysis with high-resolution modelling to evaluate the effectiveness of these potential abatement measures of precursors for O3 reduction

Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study

Introduction: The multiorgan impact of moderate to severe coronavirus infections in the post-acute phase is still poorly understood. We aimed to evaluate the excess burden of multiorgan abnormalities after hospitalisation with COVID-19, evaluate their determinants, and explore associations with patient-related outcome measures. Methods: In a prospective, UK-wide, multicentre MRI follow-up study (C-MORE), adults (aged ≥18 years) discharged from hospital following COVID-19 who were included in Tier 2 of the Post-hospitalisation COVID-19 study (PHOSP-COVID) and contemporary controls with no evidence of previous COVID-19 (SARS-CoV-2 nucleocapsid antibody negative) underwent multiorgan MRI (lungs, heart, brain, liver, and kidneys) with quantitative and qualitative assessment of images and clinical adjudication when relevant. Individuals with end-stage renal failure or contraindications to MRI were excluded. Participants also underwent detailed recording of symptoms, and physiological and biochemical tests. The primary outcome was the excess burden of multiorgan abnormalities (two or more organs) relative to controls, with further adjustments for potential confounders. The C-MORE study is ongoing and is registered with ClinicalTrials.gov, NCT04510025. Findings: Of 2710 participants in Tier 2 of PHOSP-COVID, 531 were recruited across 13 UK-wide C-MORE sites. After exclusions, 259 C-MORE patients (mean age 57 years [SD 12]; 158 [61%] male and 101 [39%] female) who were discharged from hospital with PCR-confirmed or clinically diagnosed COVID-19 between March 1, 2020, and Nov 1, 2021, and 52 non-COVID-19 controls from the community (mean age 49 years [SD 14]; 30 [58%] male and 22 [42%] female) were included in the analysis. Patients were assessed at a median of 5·0 months (IQR 4·2–6·3) after hospital discharge. Compared with non-COVID-19 controls, patients were older, living with more obesity, and had more comorbidities. Multiorgan abnormalities on MRI were more frequent in patients than in controls (157 [61%] of 259 vs 14 [27%] of 52; p<0·0001) and independently associated with COVID-19 status (odds ratio [OR] 2·9 [95% CI 1·5–5·8]; padjusted=0·0023) after adjusting for relevant confounders. Compared with controls, patients were more likely to have MRI evidence of lung abnormalities (p=0·0001; parenchymal abnormalities), brain abnormalities (p<0·0001; more white matter hyperintensities and regional brain volume reduction), and kidney abnormalities (p=0·014; lower medullary T1 and loss of corticomedullary differentiation), whereas cardiac and liver MRI abnormalities were similar between patients and controls. Patients with multiorgan abnormalities were older (difference in mean age 7 years [95% CI 4–10]; mean age of 59·8 years [SD 11·7] with multiorgan abnormalities vs mean age of 52·8 years [11·9] without multiorgan abnormalities; p<0·0001), more likely to have three or more comorbidities (OR 2·47 [1·32–4·82]; padjusted=0·0059), and more likely to have a more severe acute infection (acute CRP >5mg/L, OR 3·55 [1·23–11·88]; padjusted=0·025) than those without multiorgan abnormalities. Presence of lung MRI abnormalities was associated with a two-fold higher risk of chest tightness, and multiorgan MRI abnormalities were associated with severe and very severe persistent physical and mental health impairment (PHOSP-COVID symptom clusters) after hospitalisation. Interpretation: After hospitalisation for COVID-19, people are at risk of multiorgan abnormalities in the medium term. Our findings emphasise the need for proactive multidisciplinary care pathways, with the potential for imaging to guide surveillance frequency and therapeutic stratification

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Plastic Responses to Interacting Environmental Drivers

Natural environments fluctuate at different time scales, and animals have to integrate information from various cues to maintain performance across environmental gradients. Mismatches between environmental signals, which are enhanced by global warming, could alter thermal plasticity of physiology and behaviour. We showed that transgenerational effects can interact with reversible thermal acclimation to alleviate the performance cost of a mismatch between ancestral and offspring environments. Exposure to mismatched photoperiod and temperature cues altered thermal acclimation of whole-animal performance, and this effect was at least partly mediated by thyroid hormone. The interaction between ancestral and acclimation thermal environments, and the combined effect of seasonal cues modified group behaviour and dispersal. Temperature and food availability affected mitochondrial efficiency, thereby modifying the link between whole-animal oxygen consumption, energy production and behaviour. Our results indicate that a mismatch in seasonal cues, rather than an increase in temperature only, could be a signal for changes in physiology, behaviour and other phenological events observed in response to global warming. Furthermore, plasticity at different time-scales can increase animal resilience to such environmental mismatches. We showed that whole-animal oxygen consumption does not predict energy production or use, and needs to be calibrated with mitochondrial efficiency to assess ATP production under different environmental conditions. This dissociation between oxygen consumption and energy production can partially explain the variation in the link between oxygen consumption and behaviour observed across environmental contexts

The role of larval substrate specialization and female oviposition in mediating species diversity of closely-related sepsid flies (Diptera: Sepsidae)

Coprophagous insect communities play a critical role in the decomposition of vertebrate dung and provide ecosystem functions fundamental to modern agriculture. While the ecology of dung beetles is rather well understood, niche differentiation in coprophagous flies is poorly studied. Sepsid flies (Diptera: Sepsidae) are a vital part of the European community of coprophages, with 6-7 widespread species of Sepsis often found co-occurring in the same pasture. To advance our ecological understanding of the mechanisms that enable species to coexist, we investigated the oviposition preferences and larval performance of 7 common species of Sepsis in the dung of different large domestic and wild mammals. Substrate preferences and subsequent performance of larvae in laboratory experiments did not vary greatly. All species did very well on cow dung, the most common substrate in Central Europe, but also on dung of horse and wild boar. In contrast, flies did not prefer or grow well in dung of red and roe deer, two of the most common wild vertebrates. Thus there were only minor differences among the species tested along the specialist-generalist (dung) gradient, indicating that differences in the choice of oviposition sites by the adults of the different fly species and larval performance do not constitute a major axis of ecological differentiation. Nevertheless, there was a positive correlation between substrate choice and larval performance indicating the preference of gravid females for particular oviposition sites is adaptive. We conclude that sepsids are common in Europe because they are well adapted to the dung of herbivorous livestock rather than wild animals. Nevertheless, specialization on particular types of dung does not define the niche of Sepsis dung flies and hence plays a minor role in mediating their species diversity

Dataset for: Adapting population models for application in pesticide risk assessment: a case study with Mead’s milkweed

Population models can facilitate assessment of potential impacts of pesticides on populations or species rather than individuals and have been identified as important tools for pesticide risk assessment of non-target species including those listed under the Endangered Species Act (ESA). Few examples of population models developed for this specific purpose are available, however, population models are commonly used in conservation science as a tool to project the viability of populations and the long-term outcomes of management actions. We present a population model for Mead’s milkweed (Asclepias meadii), a species listed as threatened under the ESA throughout its range across the Midwestern U.S. We adapted a published population model based on demographic field data for application in pesticide risk assessment. Exposure and effects were modeled as reductions of sets of vital rates in the transition matrices, simulating both lethal and sublethal effects of herbicides. Two herbicides, atrazine and mesotrione, were used as case study examples to evaluate a range of assumptions about potential exposure-effects relationships. In addition, we assessed buffers (i.e. setback distances of herbicide spray applications from the simulated habitat) as hypothetical mitigation scenarios and evaluated their influence on population-level effects in the model. The model results suggest that buffers can be effective in reducing risk from herbicide drift to plant populations. These case studies demonstrate that existing population models can be adopted and integrated with exposure and effects information for use in pesticide risk assessment

Modeling Pesticide Effects on Multiple Threatened and Endangered Cyprinid Fish Species: The Role of Life-History Traits and Ecology

Mechanistic models are invaluable in ecological risk assessment (ERA) because they facilitate extrapolation of organism-level effects to population-level effects while accounting for species life history, ecology, and vulnerability. In this work, we developed a model framework to compare the potential effects of the fungicide chlorothalonil across four listed species of cyprinid fish and explore species-specific traits of importance at the population level. The model is an agent-based model based on the dynamic energy budget theory. Toxicokinetic-toxicodynamic sub-models were used for representing direct effects, whereas indirect effects were described by decreasing food availability. Exposure profiles were constructed based on hydroxychlorothalonil, given the relatively short half-life of parent chlorothalonil. Different exposure magnification factors were required to achieve a comparable population decrease across species. In particular, those species producing fewer eggs and with shorter lifespans appeared to be more vulnerable. Moreover, sequentially adding effect sub-models resulted in different outcomes depending on the interplay of life-history traits and density-dependent compensation effects. We conclude by stressing the importance of using models in ERA to account for species-specific characteristics and ecology, especially when dealing with listed species and in accordance with the necessity of reducing animal testing

Modeling Pesticide Effects on Multiple Threatened and Endangered Cyprinid Fish Species: The Role of Life-History Traits and Ecology

Mechanistic models are invaluable in ecological risk assessment (ERA) because they facilitate extrapolation of organism-level effects to population-level effects while accounting for species life history, ecology, and vulnerability. In this work, we developed a model framework to compare the potential effects of the fungicide chlorothalonil across four listed species of cyprinid fish and explore species-specific traits of importance at the population level. The model is an agent-based model based on the dynamic energy budget theory. Toxicokinetic-toxicodynamic sub-models were used for representing direct effects, whereas indirect effects were described by decreasing food availability. Exposure profiles were constructed based on hydroxychlorothalonil, given the relatively short half-life of parent chlorothalonil. Different exposure magnification factors were required to achieve a comparable population decrease across species. In particular, those species producing fewer eggs and with shorter lifespans appeared to be more vulnerable. Moreover, sequentially adding effect sub-models resulted in different outcomes depending on the interplay of life-history traits and density-dependent compensation effects. We conclude by stressing the importance of using models in ERA to account for species-specific characteristics and ecology, especially when dealing with listed species and in accordance with the necessity of reducing animal testing