La signification de la demande d’aide pour des hommes atteints d’un cancer de la sphère oto-rhino-laryngologique (ORL)

À ce jour, peu d’études ont été conduites pour mieux comprendre le phénomène de la demande d’aide auprès d’hommes dans le contexte du cancer. Les études consultées suscitaient de nombreuses questions et hypothèses sur la signification que pouvaient accorder ces hommes à la demande d’aide. C’est pourquoi l’étudiante chercheuse a réalisé cette étude phénoménologique auprès d’hommes atteints d’un cancer de la sphère otorhinolaryngologique, afin de mieux comprendre ce phénomène. Huit hommes ont accepté de participer à l’étude. Suite aux entrevues semi-structurées, l’analyse des données, assistée par la méthode proposée par Giorgi (1997), a fait ressortir les thèmes centraux suivants : 1) Se sentir capables de faire face seuls aux diverses adversités; 2) Bénéficier du soutien des proches et de l’équipe de soins; et 3) Utiliser des stratégies cognitives. Les résultats ont révélé que la signification accordée à la demande d’aide est intimement liée à la construction sociale du genre, c’est-à-dire aux normes d’identité masculine acquises culturellement. Les valeurs accordées à l’autonomie, à l’estime de soi et à « l’égo masculin » expliqueraient en partie pourquoi les hommes interviewés demandent peu d’aide. Par ailleurs, la présence constante de la conjointe et le soutien de l’équipe professionnelle de santé semblent avoir grandement modulé les comportements de demande d’aide des participants en anticipant leurs besoins avant même qu’ils puissent les exprimer; ce qui invite à une réflexion sur l’empowerment, stratégie d’intervention fondée sur la responsabilisation individuelle. Des recommandations pour la pratique et la recherche infirmières sont formulées afin d’optimiser le soin et le développement du savoir infirmier dans ce domaine d’intérêt.To date, few studies have been conducted to better understand the phenomenon of help seeking of men in the context of cancer. The reviewed studies elicited many questions and hypotheses about men’s understanding of help seeking in the context of cancer. Therefore, the research student has conducted a phenomenological study to describe this phenomenon in men with otorhinolaryngological cancer. Eight men have agreed to participate in the study. Following semi-structured interviews, the data analysis, assisted by the method proposed by Giorgi (1997), highlighted the following key themes: 1) Feeling able to cope alone with the various adversities, 2) Having the support of the family and the care team, and 3) Using cognitive strategies. The results showed that the lived experience of help seeking is closely linked to the social construction of gender, that is to say to the culturally acquired male norms. Values of autonomy, self-esteem and “male ego” explain in part why most of the participants did not ask for help. Moreover, the constant presence of the spouse and the support of the professional health care team appear to have greatly modulated participants’ help seeking behaviors by anticipating their needs, before they could even express them; this issue invites us to a reflection on the phenomenon of empowerment, intervention strategy based on the individual responsabilisation. Recommendations for practice and nursing research are formulated to optimize nursing care and to insure the pursuit of the development of nursing knowledge in this area of interest

Structured immune work-up in healthy children with a first episode of severe bacterial infection: a 7-year single-center study

Background: Severe bacterial infections (SBI) in otherwise healthy children are rare and may represent an underlying impairment of the immune system including primary immunodeficiency (PID). However, it is unclear if and how children should be assessed. Methods: We retrospectively analyzed data from hospital records of previously healthy children aged 3 days to 18 years with SBI including pleuropneumonia, meningitis, and/or sepsis. Patients were diagnosed or immunologically followed-up between 2013/01/01 and 2020/03/31. Results: Out of 432 children with SBI, 360 children could be analyzed. Follow-up data were available for 265 (74%) children, of whom 244 children (92%) had immunological testing. Laboratory abnormalities were found in 51 of 244 patients (21%), with 3 deaths (1%). There were 14 (6%) children with immunodeficiency considered clinically relevant (3 complement deficiencies, 1 autoimmune neutropenia, 10 humoral immunodeficiencies) and 27 (11%) with milder humoral abnormalities or findings suggestive of delayed adaptive immune maturation. Conclusions: A substantial proportion of children with SBI may benefit from routine immunological testing, revealing (potentially) clinically relevant impaired immune function in 6-17% of children. The identification of immune abnormalities allows for specific counselling of families and optimization of preventive measures such as booster vaccinations to avoid future SBI episodes

FACS purification and transcriptome analysis of drosophila neural stem cells reveals a role for Klumpfuss in self-renewal

Drosophila neuroblasts (NBs) have emerged as a model for stem cell biology that is ideal for genetic analysis but is limited by the lack of cell-type-specific gene expression data. Here, we describe a method for isolating large numbers of pure NBs and differentiating neurons that retain both cell-cycle and lineage characteristics. We determine transcriptional profiles by mRNA sequencing and identify 28 predicted NB-specific transcription factors that can be arranged in a network containing hubs for Notch signaling, growth control, and chromatin regulation. Overexpression and RNA interference for these factors identify Klumpfuss as a regulator of self-renewal. We show that loss of Klumpfuss function causes premature differentiation and that overexpression results in the formation of transplantable brain tumors. Our data represent a valuable resource for investigating Drosophila developmental neurobiology, and the described method can be applied to other invertebrate stem cell lineages as well

La fabrique des mondes insulaires

Il y a quarante ans déjà, Paul Ottino [1974] soulignait l’intérêt heuristique que présente pour l’anthropologie, l’histoire, la géographie, la sociologie et l’archéologie le fait d’étudier ensemble le sud de l’océan Indien occidental, appréhendé comme « aire culturelle » et « domaine de recherche » à part entière. Les archipels des Comores (Anjouan, Mohéli, Ngazidja, Mayotte), des Mascareignes (La Réunion, Maurice, Rodrigues) et des Seychelles (Mahé, Praslin, La Digue...) constituent, avec Ma..

Tissue Sodium Content and Arterial Hypertension in Obese Adolescents

Early-onset obesity is known to culminate in type 2 diabetes, arterial hypertension and subsequent cardiovascular disease. The role of sodium (Na+) homeostasis in this process is incompletely understood, yet correlations between Na+ accumulation and hypertension have been observed in adults. We aimed to investigate these associations in adolescents. A cohort of 32 adolescents (13-17 years), comprising 20 obese patients, of whom 11 were hypertensive, as well as 12 age-matched controls, underwent 23Na-MRI of the left lower leg with a standard clinical 3T scanner. Median triceps surae muscle Na+ content in hypertensive obese (11.95 mmol/L [interquartile range 11.62-13.66]) was significantly lower than in normotensive obese (13.63 mmol/L [12.97-17.64]; p = 0.043) or controls (15.37 mmol/L [14.12-16.08]; p = 0.012). No significant differences were found between normotensive obese and controls. Skin Na+ content in hypertensive obese (13.33 mmol/L [11.53-14.22] did not differ to normotensive obese (14.12 mmol/L [13.15-15.83]) or controls (11.48 mmol/L [10.48-12.80]), whereas normotensive obese had higher values compared to controls (p = 0.004). Arterial hypertension in obese adolescents is associated with low muscle Na+ content. These findings suggest an early dysregulation of Na+ homeostasis in cardiometabolic disease. Further research is needed to determine whether this association is causal and how it evolves in the transition to adulthood

What Makes Digital Technology? A Categorization Based on Purpose

Digital technology (DT) is creating and shaping today’s world. Building on its identity and history of technology research, the Information Systems discipline is at the forefront of understanding the nature of DT and related phenomena. Understanding the nature of DT requires understanding its purposes. Because of the growing number of DTs, these purposes are diversifying, and further examination is needed. To that end, we followed an organizational systematics paradigm and present a taxonomic theory for DT that enables its classification through its diverse purposes. The taxonomic theory comprises a multi-layer taxonomy of DT and purpose-related archetypes, which we inferred from a sample of 92 real-world DTs. In our empirical evaluation, we assessed reliability, validity, and usefulness of the taxonomy and archetypes. The taxonomic theory exceeds existing technology classifications by being the first that (1) has been rigorously developed, (2) considers the nature of DT, (3) is sufficiently concrete to reflect the diverse purposes of DT, and (4) is sufficiently abstract to be persistent. Our findings add to the descriptive knowledge on DT, advance our understanding of the diverse purposes of DT, and lay the ground for further theorizing. Our work also supports practitioners in managing and designing DTs

Facing danger: exploring personality and reactions of European hedgehogs (Erinaceus europaeus) towards robotic lawn mowers

The populations of European hedgehog (Erinaceus europaeus) are in decline, and it is essential that research identifies and mitigates the factors causing this. Hedgehogs are increasingly sharing habitats with humans, being exposed to a range of dangers in our backyards. Previous research has documented that some models of robotic lawn mowers can cause harm to hedgehogs. This study explored the personality and behaviour of 50 live hedgehogs when facing an approaching, disarmed robotic lawn mower. By combining a novel arena and novel object test, we found that 27 hedgehogs could be categorised as “shy” and 23 as “bold”, independently of sex and age. The encounter tests with a robotic lawn mower showed that the hedgehogs positioned themselves in seven different ways. Personality did not affect their reactions. Adult hedgehogs tended to react in a shyer manner, and the hedgehogs, generally, acted less boldly during their second encounter with the robotic lawn mower. Additionally, our results show that bold individuals reacted in a more unpredictable way, being more behaviourally unstable compared to the shy individuals. This knowledge will be applied in the design of a standardised hedgehog safety test, eventually serving to produce and approve hedgehog-friendly robotic lawn mowers

Testing the impact of robotic lawn mowers on european hedgehogs (erinaceus europaeus) and designing a safety test

Previous research has established that some models of robotic lawn mowers are potentially harmful to hedgehogs. As the market for robotic lawn mowers is expanding rapidly and the populations of European hedgehogs (Erinaceus europaeus) are in decline, it is important to investigate this risk further to understand the potential threat which some robotic lawn mowers may pose to hedgehogs. We tested 19 models of robotic lawn mowers in collision with hedgehog cadavers to measure their effect on hedgehogs. Our results showed that some models of robotic lawn mowers may injure hedgehogs, whereas others are not harmful to them. Apart from one single incidence, all robotic lawn mowers had to physically touch the hedgehog carcasses to detect them. Larger hedgehog cadavers were less likely to be “injured”, with height being the most influential measure of size. The firmness of the tested hedgehog cadavers (frozen or thawed) did not influence the outcome of the collision tests. Neither the position of the hedgehog cadavers nor the selected technical features of the lawn mowers affected the probability of injury. Based on the results, we designed a standardised safety test to measure the effect of a specific model of robotic lawn mower on hedgehogs

Epidemiological situation of Lyme borreliosis in Belgium, 2003 to 2012.

BACKGROUND: Some studies show that the incidence of Lyme borreliosis is increasing in different European countries. In order to evaluate if this is also the case in Belgium, different data sources were consulted to describe the epidemiology of Lyme borreliosis in the country during the last decade. METHODS: Data from two databases were analyzed for the time period 2003-2010 and 2003-2012 for respectively: the registration of minimal clinical data from Belgian hospitals (principal and secondary diagnosis), and a sentinel laboratory network reporting positive laboratory results. RESULTS: The number of hospitalized cases per year remained stable between 2003 and 2010, ranging from 970 (in 2008) to 1453 (in 2006), with a median of 1132.5 cases per year. Between 2003 and 2012, yearly fluctuations in the number of positive tests were reported by the sentinel laboratory network (with a minimum of 996 positive tests in 2007 and a maximum of 1651 positive tests in 2005), but there is no increasing trend over the study period (median = 1200.5 positive tests per year). The highest incidence rates of hospitalization and the highest reported incidence of positive laboratory results are registered in the provinces of Luxemburg, Limburg, Flemish Brabant and Antwerp, with a typical seasonal pattern (peak in September). The age groups affected most are those from 5 to 14 years and 45 to 69. CONCLUSION: Based on hospital records and laboratory results, no increasing trend in Lyme disease was observed over the 2003-2012 period in Belgium. These results are in line with the stable incidence of erythema migrans reported by a sentinel network of general practitionners between 2003 and 2009. Multi-source surveillance of vector-borne diseases should be further implemented

Empirical Removal of Tides and Inverse Barometer Effect on DInSAR From Double DInSAR and a Regional Climate Model

Ice shelves-the floating extensions of the Antarctic ice sheet-regulate the Antarctic contribution to sea-level rise by restraining the grounded ice flowing from upstream. Therefore, ice-shelf change (e.g., ice-shelf thinning) results in accelerated ice discharge into the ocean, which has a direct effect on sea level. Studying ice-shelf velocity allows the monitoring of the ice shelves' stability and evolution. Differential synthetic aperture radar interferometry (DInSAR) is a common technique from which highly accurate velocity maps can be inferred at high resolution. Because ice shelves are afloat, small sea-level changes-i.e., ocean tides and varying atmospheric pressure (aka inverse barometer effect) lead to vertical displacements. If not accounted for in the interferometric process, these effects will induce a strong bias in the horizontal velocity estimation. In this article, we present an empirical DInSAR correction technique from geophysical models and double DInSAR, with a study on its variance propagation. The method is developed to be used at large coverage on short timescales, essential for the near-continuous monitoring of rapidly changing areas on polar ice sheets. We used Sentinel-1 SAR acquisitions in interferometric wide and extra -wide swath modes. The vertical interferometric bias is estimated using a regional climate model (MAR) and a tide model (CATS2008). The study area is located on the Roi Baudouin Ice Shelf in Dronning Maud Land, East Antarctica. Results show a major decrease (67 m·a -1 ) in the vertical-induced displacement bias.Fil: Glaude, Quentin. Université Libre de Bruxelles; Bélgica. Université de Liège; BélgicaFil: Amory, Charles. Universite de Liege. Faculty Of Applied Sciences.; BélgicaFil: Berger, Sophie. Alfred-Wegener-Institut, Helmholtz-Zentrum für Polar- und Meeresforschung; Alemania. Université Libre de Bruxelles; BélgicaFil: Derauw, Dominique Maurice. Universidad Nacional de Río Negro. Sede Alto Valle. Instituto de Investigaciones en Paleobiología y Geología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Pattyn, Frank. Vrije Unviversiteit Brussel; Bélgica. Université Libre de Bruxelles; BélgicaFil: Barbier, Christian. Université de Liège; BélgicaFil: Orban, Anne. Université Catholique de Louvain; Bélgic