Les glaciers enterrés du vallon des Jovet

Au cours de l'été 2009, le travail de terrain et la ténacité d'un étudiant de l'Université de Lausanne ont permis une découverte étonnante sur le territoire de la réserve Naturelle des Contamines-Montjoie, dans le secteur minéral dominant les lacs Jovet, au sud du massif du Mont-Blanc

Disappearing world heritage glaciers as a keystone of nature conservation in a changing climate

Since 1972, the United Nations Educational, Scientific and Cultural Organization (UNESCO) World Heritage Convention aims to identify and protect sites of Outstanding Universal Value for future generations. However, growing impacts of climate change are of the utmost concern for the integrity of many sites. Here, we inventory the glaciers present in natural World Heritage sites for the first time. We found 19,000 glaciers in 46 sites located all over the world. We analyze their recent evolution, current state, and project their mass change over the 21st century. Our results are based on a comprehensive review of the literature as well as a state‐of‐ the‐art glaciological model for computing glacier responses up to 2100. Illustrating the strong influence of CO2 emission scenarios and human actions on future ice loss magnitude, we project the wastage of 33% to 60% of the 2017 cumulative ice volume of 12,000 km3 of World Heritage glaciers by 2100. Furthermore, we expect complete glacier extinction in 8 to 21 of the investigated World Heritage sites until the end of the century, depending on the climate scenario. We suggest that World Heritage glaciers should be considered as analogs to endangered umbrella, keystone, and flagship species, whose conservation would secure wider environmental and social benefits at global scale

Decadal evolution of a very small heavily debris-covered glacier in an Alpine permafrost environment

Glacier response to climate forcing can be heterogeneous and complex, depending on glacier system characteristics. This article presents the decadal evolution of the Tsarmine Glacier (Swiss Alps), a very small and heavily debris-covered cirque glacier located in the Alpine periglacial belt. Archival aerial photogrammetry and autocorrelation of orthophotos were used to compute surface elevation, volume and geodetic mass changes, as well as horizontal displacement rates for several periods between 1967 and 2012. A GPR survey allowed us to investigate glacier thickness (15 m mean) and volume (4 × 106 m3) in 2015 and to anticipate its future evolution. Different dynamics occurred in recent decades because of the heterogeneous surface characteristics. The climate-sensitive upper debris-free zone contrasts with the progressively stagnant heavily debris-covered glacier tongue. Between 1967 and 2012, the glacier lost 1/3 of its initial volume (2 × 106 m3). The average mass balance stabilised at ~−0.3 m w.e. a −1 since 1999. Compared with other local glaciers, the Tsarmine Glacier shows a particular decadal behaviour both in time (divergence of mass balance since the 2000s) and space (inverted ablation pattern). This might be explained by the combined influence of debris cover, shadow, snow redistribution and permafrost conditions on this very small glacier

Is virtual reality effective to teach prevention of surgical site infections in the operating room? study protocol for a randomised controlled multicentre trial entitled VIP Room study

INTRODUCTION: Some surgical site infections (SSI) could be prevented by following adequate infection prevention and control (IPC) measures. Poor compliance with IPC measures often occurs due to knowledge gaps and insufficient education of healthcare professionals. The education and training of SSI preventive measures does not usually take place in the operating room (OR), due to safety, and organisational and logistic issues. The proposed study aims to compare virtual reality (VR) as a tool for medical students to learn the SSI prevention measures and adequate behaviours (eg, limit movements…) in the OR, to conventional teaching. METHODS AND ANALYSIS: This protocol describes a randomised controlled multicentre trial comparing an educational intervention based on VR simulation to routine education. This multicentre study will be performed in three universities: Grenoble Alpes University (France), Imperial College London (UK) and University of Heidelberg (Germany). Third-year medical students of each university will be randomised in two groups. The students randomised in the intervention group will follow VR teaching. The students randomised in the control group will follow a conventional education programme. Primary outcome will be the difference between scores obtained at the IPC exam at the end of the year between the two groups. The written exam will be the same in the three countries. Secondary outcomes will be satisfaction and students' progression for the VR group. The data will be analysed with intention-to-treat and per protocol. ETHICS AND DISSEMINATION: This study has been approved by the Medical Education Ethics Committee of the London Imperial College (MEEC1920-172), by the Ethical Committee for the Research of Grenoble Alpes University (CER Grenoble Alpes-Avis-2019-099-24-2) and by the Ethics Committee of the Medical Faculty of Heidelberg University (S-765/2019). Results will be published in peer-reviewed medical journals, communicated to participants, general public and all relevant stakeholders

Production of highly-polarized positrons using polarized electrons at MeV energies

The Polarized Electrons for Polarized Positrons experiment at the injector of the Continuous Electron Beam Accelerator Facility has demonstrated for the first time the efficient transfer of polarization from electrons to positrons produced by the polarized bremsstrahlung radiation induced by a polarized electron beam in a high-$Z$ target. Positron polarization up to 82\% have been measured for an initial electron beam momentum of 8.19~MeV/$c$, limited only by the electron beam polarization. This technique extends polarized positron capabilities from GeV to MeV electron beams, and opens access to polarized positron beam physics to a wide community.Comment: 5 pages, 4 figure

Kinetic modelling of competition and depletion of shared miRNAs by competing endogenous RNAs

Non-conding RNAs play a key role in the post-transcriptional regulation of mRNA translation and turnover in eukaryotes. miRNAs, in particular, interact with their target RNAs through protein-mediated, sequence-specific binding, giving rise to extended and highly heterogeneous miRNA-RNA interaction networks. Within such networks, competition to bind miRNAs can generate an effective positive coupling between their targets. Competing endogenous RNAs (ceRNAs) can in turn regulate each other through miRNA-mediated crosstalk. Albeit potentially weak, ceRNA interactions can occur both dynamically, affecting e.g. the regulatory clock, and at stationarity, in which case ceRNA networks as a whole can be implicated in the composition of the cell's proteome. Many features of ceRNA interactions, including the conditions under which they become significant, can be unraveled by mathematical and in silico models. We review the understanding of the ceRNA effect obtained within such frameworks, focusing on the methods employed to quantify it, its role in the processing of gene expression noise, and how network topology can determine its reach.Comment: review article, 29 pages, 7 figure

Patient referral is influenced by dialysis centre structure in the Diamant Alpin Dialysis cohort study

BACKGROUND: Late referral (LR) to the nephrologist of patients with progressing chronic kidney disease (CKD) has numerous deleterious effects and is observed in many countries. The contributing factors associated with LR are controversial and poorly defined. We hypothesized that these factors might be better identified by analysing patients starting dialysis in three distinct European countries within the same area. METHOD: The referral and progression of kidney failure patterns were analysed with demographic, clinical and biological data in 279 non-selected consecutive patients starting dialysis in eight centres of three adjacent regions in France, Italy and Switzerland. RESULTS: Early referral (>6 months before the start of dialysis) was seen in 200 patients (71.6%), intermediate referral (1-6 months) in 42 (15.1%) and LR (<1 month) in 37 (13.3%). However inter-centre variations were between 2 and 19% for LR and 6-50% for combined late and intermediate referral. There were no differences at the national levels, but LR was more frequent in the large city centres than in the private or regional structures, with 31 out of 169 (18.3%), two out of 55 (5.4%) and four out of 55 (7.3%), respectively, of their patients (P<0.01). By multivariate analysis, it appears that, besides the presence of an active cancer and the CKD progression rate, the centre structure and the referring physician (primary care physicians and nephrologists are less responsible for LR than other medical specialists) play a significant role in the practice of LR. CONCLUSIONS: Within a dialysis cohort spread over adjacent regions of three countries, LR has the same global distribution pattern, indicating that different health and social security systems do not play a major role in inducing or preventing this practice. The contributing factors for LR that were identified are the type of the referring physician and the structure of the dialysis unit. Both factors are potential targets for an educational and collaborative approach

Individuals with Fear of Blushing Explicitly and Automatically Associate Blushing with Social Costs

To explain fear of blushing, it has been proposed that individuals with fear of blushing overestimate the social costs of their blushing. Current information-processing models emphasize the relevance of differentiating between more automatic and more explicit cognitions, as both types of cognitions may independently influence behavior. The present study tested whether individuals with fear of blushing expect blushing to have more negative social consequences than controls, both on an explicit level and on a more automatic level. Automatic associations between blushing and social costs were assessed in a treatment-seeking sample of individuals with fear of blushing who met DSM-IV criteria for social anxiety disorder (n = 49) and a non-anxious control group (n = 27) using a single-target Implicit Association Test (stIAT). In addition, participants’ explicit expectations about the social costs of their blushing were assessed. Individuals with fear of blushing showed stronger associations between blushing and negative outcomes, as indicated by both stIAT and self-report. The findings support the view that automatic and explicit associations between blushing and social costs may both help to enhance our understanding of the cognitive processes that underlie fear of blushing