Concert recording 2017-04-26

[Track 1]. Fantazia / Orlando Gibbons arranged by Fred Hemke -- [Track 2-3]. Quartette (Allegro de concert) / Caryl Florio -- [Track 4]. O magnum mysterium / Morten Lauridsen arranged by Chase Shumsky -- [Track 5]. Petite symphonie. Scherzo / Charles Gounod arranged by Aaron M. Durst -- [Track 6]. Grainger set. Mock Morris / Percy Aldridge Grainger arranged by Gary Bricault -- [Track 7]. Grainger set. Two British folk settings. I. Mo nighean dubh [Track 8]. II. The hunter in his career / Percy Aldridge Grainger arranged by Chalon Ragsdale -- [Track 9]. Molly on the shore / Percy Aldridge Grainger arranged by Jacques Larocque -- [Track 10]. The great gate of Kiev / Modest Mussorgsky and Maurice Ravel arranged by B.L. Bruske

Scolarisation des enfants de moins de 7 ans en situation de handicap : étude de prévalence transversale dans les Bouches du Rhône

The law on the deployment of a health education pathway from kindergarten to high school has as its primary objective the reduction of health inequalities, relaying on school, an ideal place to sensitize children about the major health issues. The arrangements for granting human assistance to students with disabilities in mainstream schools, distinguish and define two types of human assistance according to the pupil’s needs: the individual school life assistant (AVS-I) and the shared school life assistant (AVS-M). The main objective of this cross-sectional prevalence study is to explore whether a link exists between pathologies or impairments, and the type of AVS attributed to a child under 7 years old, disabled, enrolled in the MDPH (Maison Départementale des Personnes Handicapées – “Departmental House for the Disabled”) and enrolled in school in the Bouches-du-Rhône over the year 2015. The MDPH registry named DAPHNEE was used, as well as another file containing pathologies and deficiencies. These registers are declared to the CNIL. An AVS-M was most often attributed to pathologies such as specific disorders of speech and language development (58%) as well as specific mixed disorders of development (56%) and specific disorders of the development of school acquisitions (74%). An AVS-I was most often attributed to pervasive developmental disorders (78%). Regarding impairments, an AVS-M was most often attributed to perception or attention disorders (53%). An AVS-I was most often attributed to diagnosed impairments in written or oral language learning (57%), severe communication impairments (76%), impaired digestive function (80%) and deficiencies in urinary function (83%). The common point of the pathologies and deficiencies requiring an AVS-I, rather than AVS-M, seems to be the severity of the handicap they cause in school, either on the cognitive or on the organic level.La loi sur le déploiement d’un parcours éducatif en santé de la maternelle au lycée a pour objectif prioritaire de réduire les inégalités de santé, en s’appuyant sur l’école, lieu idéal pour sensibiliser les enfants aux grands enjeux de la santé. Les modalités d'octroi de l'aide humaine aux élèves handicapés scolarisés en milieu ordinaire distinguent et définissent deux types d'aide humaine en fonction des besoins de l'élève : l'auxiliaire de vie scolaire individuelle (AVS-I) et l'auxiliaire de vie scolaire mutualisée (AVS-M). L’objectif principal de cette étude de prévalence transversale est d’explorer si un lien existe entre les pathologies ou déficiences et le type d’AVS attribué à un enfant de moins de 7 ans, en situation de handicap, inscrit à la Maison départementale des personnes handicapées (MDPH) et scolarisé dans les Bouches-du-Rhône durant l’année 2015. Le registre de la MDPH nommé DAPHNEE a été utilisé ainsi qu’un autre fichier contenant les pathologies et les déficiences. Ces registres sont déclarés à la CNIL. Un AVS-M était le plus souvent attribué lors de pathologies comme les troubles spécifiques du développement de la parole et du langage (58%) ainsi que les troubles spécifiques mixtes du développement (56%) et les troubles spécifiques du développement des acquisitions scolaires (74%). Un AVS-I était le plus souvent attribué pour les troubles envahissant du développement (78%). Concernant les déficiences, un AVS-M était le plus souvent attribué pour les troubles de la perception ou de l’attention (53%). Un AVS-I était le plus souvent attribué lorsque étaient diagnostiquées des déficiences de l’apprentissage du langage écrit ou oral (57%), des déficiences sévères de la communication (76%), des déficiences de la fonction digestive (80%) et des déficiences de la fonction urinaire (83%). Le point commun des pathologies et déficiences nécessitant un AVS-I plutôt qu’un AVS-M semble être la sévérité du handicap qu’elles entraînent en situation scolaire, que ce soit sur le plan cognitif ou sur le plan organique

Nutritional status and quality of life of cancer patients needing exclusive chemotherapy: a longitudinal study

Abstract Background The aims of this study were to report nutritional status in a large panel of patients with cancer requiring exclusive chemotherapy and to study the influence of nutritional status on their quality of life (QoL). Methods This work was a longitudinal cohort study performed at a French university teaching hospital. Eligible patients were individuals with a cancer needing treatment based on exclusive chemotherapy. Three work-ups were performed: i) before the administration of the first course of chemotherapy: T1, ii) before the administration of the second (for patients with 3 planned courses) or third (patients with 6 planned courses) course: T2, and iii) before the administration of the last planned course: T3. The following data were collected: general health (performance status) and nutritional status (weight, anorexia grading, albuminemia, pre-albuminemia, and C-reactive protein) and QoL. Results The nutritional status of patients with cancer was preserved. Functional impairment, the presence of anorexia, the palliative nature of the chemotherapy, and an elevated C-reactive protein dosage were independent predictive factors of a lower QoL among patients assessed at the end of chemotherapy. Conclusions Although larger studies should corroborate these findings, clinicians may include this information in the management of patients with cancer requiring exclusive chemotherapy to identify the most vulnerable patients. Trial registration Current controlled trials NCT01687335 (registration date: October 6, 2011)

Impact of severe polyhandicap on parents' quality of life: A large French cross-sectional study.

BACKGROUND:Polyhandicap (PLH) is a condition of severe and complex disabilities and is defined by a combination of profound intellectual impairment and serious motor deficits. Parents of PLH individuals are chronically confronted with stressful situations. The aims of this study are i) to assess and compare the quality of life (QoL) of a large panel of parents of PLH individuals with age- and gender-matched controls and ii) to identify potential determinants of parents' QoL. METHOD:We conducted a cross-sectional study. Parents were recruited from 4 specialized rehabilitation centres, 9 residential facilities, and a specialized paediatric/neurological department. The selection criteria were age above 18 years and being the mother/father of a PLH individual. The data collected from the parents included sociodemographic, health status, and psycho-behavioural data (including QoL); additionally, the health status of the PLH individuals was collected. RESULTS:The QoL scores of all dimensions were significantly lower for parents than for controls. The main factors modulating parents' QoL were financial issues, health status, and coping strategies. The PLH individuals' health status was not associated with parents' QoL. CONCLUSIONS:Some QoL determinants might be amenable. These findings should help health care workers and health decision makers to implement specific and appropriate interventions

Impact of severe polyhandicap on parents’ quality of life

International audienc

Impact of severe polyhandicap on parents’ quality of life

International audienc

Additional file 2: of Nutritional status and quality of life of cancer patients needing exclusive chemotherapy: a longitudinal study

Dataset. (XLS 470 kb

Additional file 1: Table S1. of Nutritional status and quality of life of cancer patients needing exclusive chemotherapy: a longitudinal study

Relationships between QoL scores of functioning scales (EORTC QLQ C30) at T3 and sociodemographic and nutritional status. (DOCX 54 kb