Les écosystèmes forestiers, préforestiers et presteppiques du Maroc : diversité, répartition biogéographique et problèmes posés par leur aménagement

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Five-year follow-up of bilateral stimulation of the subthalamic nucleus in advanced Parkinson's disease

Background: Although the short-term benefits of bilateral stimulation of the subthalamic nucleus in patients with advanced Parkinson's disease have been well documented, the long-term outcomes of the procedure are unknown. Methods: We conducted a five-year prospective study of the first 49 consecutive patients whom we treated with bilateral stimulation of the subthalamic nucleus. Patients were assessed at one, three, and five years with levodopa (on medication) and without levodopa (off medication), with use of the Unified Parkinson's Disease Rating Scale. Seven patients did not complete the study: three died, and four were lost to follow-up. Results: As compared with base line, the patients' scores at five years for motor function while off medication improved by 54 percent (P<0.001) and those for activities of daily living improved by 49 percent (P<0.001). Speech was the only motor function for which off-medication scores did not improve. The scores for motor function on medication did not improve one year after surgery, except for the dyskinesia scores. On-medication akinesia, speech, postural stability, and freezing of gait worsened between year 1 and year 5 (P<0.001 for all comparisons). At five years, the dose of dopaminergic treatment and the duration and severity of levodopa-induced dyskinesia were reduced, as compared with base line (P<0.001 for each comparison). The average scores for cognitive performance remained unchanged, but dementia developed in three patients after three years. Mean depression scores remained unchanged. Severe adverse events included a large intracerebral hemorrhage in one patient. One patient committed suicide. Conclusions: Patients with advanced Parkinson's disease who were treated with bilateral stimulation of the subthalamic nucleus had marked improvements over five years in motor function while off medication and in dyskinesia while on medication. There was no control group, but worsening of akinesia, speech, postural stability, freezing of gait, and cognitive function between the first and the fifth year is consistent with the natural history of Parkinson's disease

Machine learning approach for computing optical properties of a photonic crystal fiber

Photonic crystal fibers (PCFs) are the specialized optical waveguides that led to many interesting applications ranging from nonlinear optical signal processing to high-power fiber amplifiers. In this paper, machine learning techniques are used to compute various optical properties including effective index, effective mode area, dispersion and confinement loss for a solid-core PCF. These machine learning algorithms based on artificial neural networks are able to make accurate predictions of above-mentioned optical properties for usual parameter space of wavelength ranging from 0.5-1.8 µm, pitch from 0.8-2.0 µm, diameter by pitch from 0.6-0.9 and number of rings as 4 or 5 in a silica solid-core PCF. We demonstrate the use of simple and fast-training feed-forward artificial neural networks that predicts the output for unknown device parameters faster than conventional numerical simulation techniques. Computation runtimes required with neural networks (for training and testing) and Lumerical MODE solutions are also compared

Un cas de fracture luxation négligée du coude avec conservation de la fonction du coude

Les fractures luxations du coude sont rares et souvent mal tolérées chez les sujets jeunes actifs. Nous rapportons un cas de fracture-luxation du coude remontant à 20 ans. C'est un jeune de 35 ans, victime il y a 20 ans d'un traumatisme fermé, suite à une chute lors d'un match du football, de son coude gauche occasionnant une fracture-luxation du coude. Le patient a  refusé une intervention chirurgicale avec une auto-rééducation. L'examen a mis en évidence une conservation de la fonction du coude. Un bilan  radiologique a montré une fracture luxation du coude avec remaniement de la palette humérale. Une abstention thérapeutique a été décidée devant l'ancienneté de la fracture-luxation et la gêne fonctionnelle minime  engendrée. Contrairement aux autres séries, la fracture-luxation dans notre cas était bien tolérée malgré le jeune âge du patient

Deeply-trapped molecules in self-nanostructured gas-phase material

Since the advent of atom laser-cooling, trapping or cooling natural molecules has been a long standing and challenging goal. Here, we demonstrate a method for laser-trapping molecules that is radically novel in its configuration, in its underlined physical dynamics and in its outcomes. It is based on self-optically spatially-nanostructured high pressure molecular hydrogen confined in hollow-core photonic-crystal-fibre. An accelerating molecular-lattice is formed by a periodic potential associated with Raman saturation except for a 1-dimentional array of nanometer wide and strongly-localizing sections. In these sections, molecules with a speed of as large as 1800 m/s are trapped, and stimulated Raman scattering in the Lamb-Dicke regime occurs to generate high power forward and backward-Stokes continuous-wave laser with sideband-resolved sub-Doppler emission spectrum. The spectrum exhibits a central line with a sub-recoil linewidth of as low as 14 kHz, more than 5 orders-of-magnitude narrower than in conventional Raman scattering, and sidebands comprising Mollow triplet, molecular motional-sidebands and four-wave-mixing.Comment: 28 pages 1-12 for main manuscript 13-28 for Methodes and appendices 4 figures for Main manuscript 12 figures for the Methods par

Contribution à l'étude du régime alimentairedu barbeau (Barbus barbus callensis Valenciennes, 1842) d'un cours d'eau du Moyen-Atlas (Maroc) : Oued Boufekrane

L'étude du régime alimentaire du barbeau (Barbus barbus callensis Valenciennes, 1842) de l'Oued Boufekrane a été réalisée sur 1 021 poissons, capturés entre janvier 1998 et juin 1999. Cette espèce présente un rythme saisonnier d'activité alimentaire. Ainsi, avec des faibles taux de vacuité, l'été et le printemps sont les saisons de forte activité alimentaire. Cette dernière diminue durant l'automne et l'hiver. Le caractère omnivore du barbeau est vérifié ; son régime alimentaire se compose essentiellement de larves d'Insectes et de débris de végétaux. Les jeunes individus (moins de 13 cm de longueur) ont une tendance zoophage, dominée par les larves de Diptères et d'Éphéméroptères. En revanche, les plus âgés présentent une tendance phytophage qui reflète l'opportunisme de ce poisson et explique ainsi, son adaptation aux conditions trophiques du milieu, caractérisées par une pauvreté en benthos.The diet of the barbel (Barbus barbus callensis Vallenciennes, 1842) in Boufekrane stream was studied on 1021 fish catched between January 1998 and June 1999.This species presented a seasonal rhythm. So, with the low rate of vacuity index, the summer and the spring were the seasons of intense alimentary activity. This activity regressed during automn and winter. The omnivorous character of the barbel was verified. The diet was composed essentially from insect larvae and plant's sherd. The young barbel (length is less than 13 cm) have zoophagous tendency. Their diet was dominated by Diptera and Ephemeroptera larvae. But, the old ones present a phytophagous tendency the opportunism of this species and the plasicity of its diet. This behavior explain the adaptability of this species to trophic conditions in the stream which contained low density of benthic fauna

P2AT: Pyramid Pooling Axial Transformer for Real-time Semantic Segmentation

Recently, Transformer-based models have achieved promising results in various vision tasks, due to their ability to model long-range dependencies. However, transformers are computationally expensive, which limits their applications in real-time tasks such as autonomous driving. In addition, an efficient local and global feature selection and fusion are vital for accurate dense prediction, especially driving scene understanding tasks. In this paper, we propose a real-time semantic segmentation architecture named Pyramid Pooling Axial Transformer (P2AT). The proposed P2AT takes a coarse feature from the CNN encoder to produce scale-aware contextual features, which are then combined with the multi-level feature aggregation scheme to produce enhanced contextual features. Specifically, we introduce a pyramid pooling axial transformer to capture intricate spatial and channel dependencies, leading to improved performance on semantic segmentation. Then, we design a Bidirectional Fusion module (BiF) to combine semantic information at different levels. Meanwhile, a Global Context Enhancer is introduced to compensate for the inadequacy of concatenating different semantic levels. Finally, a decoder block is proposed to help maintain a larger receptive field. We evaluate P2AT variants on three challenging scene-understanding datasets. In particular, our P2AT variants achieve state-of-art results on the Camvid dataset 80.5%, 81.0%, 81.1% for P2AT-S, P2ATM, and P2AT-L, respectively. Furthermore, our experiment on Cityscapes and Pascal VOC 2012 have demonstrated the efficiency of the proposed architecture, with results showing that P2AT-M, achieves 78.7% on Cityscapes. The source code will be available a

Raman gas self-organizing into deep nano-trap lattice

Trapping or cooling molecules has rallied a long-standing effort for its impact in exploring new frontiers in physics and in finding new phase of matter for quantum technologies. Here we demonstrate a system for light-trapping molecules and stimulated Raman scattering based on optically self-nanostructured molecular hydrogen in hollow-core photonic crystal fibre. A lattice is formed by a periodic and ultra-deep potential caused by a spatially modulated Raman saturation, where Raman-active molecules are strongly localized in a one-dimensional array of nanometre-wide sections. Only these trapped molecules participate in stimulated Raman scattering, generating high-power forward and backward Stokes continuous-wave laser radiation in the Lamb-Dicke regime with sub-Doppler emission spectrum. The spectrum exhibits a central line with a sub-recoil linewidth as low as ∼14 kHz, more than five orders of magnitude narrower than conventional-Raman pressure-broadened linewidth, and sidebands comprising Mollow triplet, motional sidebands and four-wave mixing

Traitement chirurgical par plaque à compression des fractures de Galeazzi chez l’adulte: À propos de 28 cas

La fracture de Galeazzi associe une fracture diaphysaire du radius ou des deux os de l'avant bras à une luxation de l'articulation radio ulnairedistale. Décrite en 1934, sa fréquence varie chez l'adulte entre 2,7% et 6,8% de l'ensemble des fractures de l'avant bras. Le traitement admis defaçon consensuel chez l'adulte est chirurgical reposant sur une ostéosynthèse stable par une plaque vissée de compression dynamique associée ou non à un embrochage de la radio ulnaire distale. Nous rapportons dans notre étude les résultats cliniques de 28 patients colligés au service de traumatologie et orthopédie A du CHU Hassan II de Fès sur une période de 06 ans. L'âge moyen de nos patients était de 30 ans avecprédominance masculine de 90%; tous nos patients ont présenté un traumatisme de poignet lors d'un accident de sport. Le côté droit était atteint dans 75 % des cas. Le bilan radiologique objectiva une fracture diaphysaire du raduis associée à une luxation radio ulnaire distale; nous avons adopté la classification de de Mansat. Le traitement a consisté en une synthèse par une plaque vissée dynamique associée à un   embrochage transversal chez six patients qui ont présenté une instabilité de la radio ulnaire distale. L'immobilisation par attelle plâtrée postérieure BABP était de mise. Après un recul de 36 mois, nos résultats ont été très satisfaisants suivant le score de Mestdagh, avec bonne récupération de la mobilité du poignet et reprise de toute activité sportive