307 research outputs found

    Étude des processus d’intĂ©gration chez le lecteur sourd et chez le lecteur entendant

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    Les ressources cognitives consacrĂ©es aux processus d’intĂ©gration et aux processus locaux sont-elles comparables chez les lecteurs sourds et chez les lecteurs entendants? Notre hypothĂšse principale en est une d’interaction entre deux variables : la population (lecteurs adultes sourds, lecteurs universitaires entendants, lecteurs entendants de 3e annĂ©e du primaire), et la nature des processus (locaux, d’intĂ©gration). Le matĂ©riel de lecture est prĂ©sentĂ© Ă  l’ordinateur au moyen de la technique Zigzag (voir http://www.unites.uqam.ca/zigzag). Les rĂ©sultats soutiennent l’hypothĂšse que les processus d’intĂ©gration en fin de phrase ne sont pas activĂ©s substantiellement chez les lecteurs sourds. Il se peut que la capacitĂ© de traitement macrostructurel soit lourdement hypothĂ©quĂ©e par le manque de ressources cognitives disponibles, puisqu’elles seraient utilisĂ©es Ă  des fins de traitement microstructurel.Do deaf and hearing readers devote comparable cognitive resources to integration processes and local processes? Our primary hypothesis is thus that there are two interacting variables: the population (adult deaf readers, university-level hearing readers, third grade hearing readers) and the nature of the processes involved (local processes, integration processes). The reading material is displayed on a computer using the Zigzag software program (see http://www.unites.uqam.ca/zigzag). The results support the hypothesis that sentence-final integration processes are not substantially activated in deaf readers. This may be due to macrostructural processing capacity being heavily compromised by the lack of available cognitive resources, since they are being used for microstructural processing

    Polars romains

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    Le genre littĂ©raire ou paralittĂ©raire qu’on peut faute de mieux dĂ©signer par le terme, utilisĂ© au dĂ©part Ă  propos du cinĂ©ma, de « pĂ©plum », et qui a Ă©tĂ© illustrĂ© par des titres comme Quo vadis ou Les derniers jours de PompĂ©i, n’est ni plus ni moins artificiel que le roman historique en gĂ©nĂ©ral, surtout si l’on admet avec RenĂ© Martin (et contrairement Ă  Lukacs) que le « roman » au sens moderne existait bel et bien Ă  Rome . Par contre, le roman policier (ou « polar ») situĂ© dans l’AntiquitĂ© par..

    Incidence and risk factors for reoperation of surgically treated pelvic organ prolapse

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    Introduction and hypothesis: The objective of our study was to estimate the incidence and to identify the risk factors for reoperation of surgically treated pelvic organ prolapse (POP). Methods: We conducted a nested case-control study among 1,811 women who underwent POP surgery from January 1988 to June 2007. Cases (n = 102) were women who required reoperation for POP following the first intervention through December 2008. Controls (n = 226) were women randomly selected from the same cohort who did not require reoperation. Results: The incidence of POP reoperation was 5.1 per 1,000 women-years. The cumulative incidence was 5.6%. Risk factors included preoperative prolapse in more than two vaginal compartments (adjusted OR 5.2; 95% CI 2.8-9.7), history of surgery for POP and/or urinary incontinence (adjusted OR 3.2; 95% CI 1.5-7.1), and sexual activity (adjusted OR 2.0; 95% CI 1.0-3.7). Conclusions: The risk of POP reoperation is relatively low and is associated with preexisting weakness of pelvic tissue

    Incidence rate and risk factors for vaginal vault prolapse repair after hysterectomy

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    Our objective was to estimate the incidence and identify the risk factors for vaginal vault prolapse repair after hysterectomy. We conducted a case control study among 6,214 women who underwent hysterectomy from 1982 to 2002. Cases (n = 32) were women who required vaginal vault suspension following the hysterectomy through December 2005. Controls (n = 236) were women, randomly selected from the same cohort, who did not require pelvic organ prolapse surgery. The incidence of vaginal vault prolapse repair was 0.36 per 1,000 women-years. The cumulative incidence was 0.5%. Risk factors included preoperative prolapse (odds ratio (OR) 6.6; 95% confidence interval (CI) 1.5-28.4) and sexual activity (OR 1.3; 95% CI 1.0-1.5). Vaginal hysterectomy was not a risk factor when preoperative prolapse was taken into account (OR 0.9; 95% CI 0.5-1.8).Vaginal vault prolapse repair after hysterectomy is an infrequent event and is due to preexisting weakness of pelvic tissue

    Inhibiting the inflammasome with MCC950 counteracts muscle pyroptosis and improves Duchenne muscular dystrophy

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    Background: Duchenne muscular dystrophy (DMD) is the most common inherited human myopathy. Typically, the secondary process involving severe inflammation and necrosis exacerbate disease progression. Previously, we reported that the NLRP3 inflammasome complex plays a crucial role in this disorder. Moreover, pyroptosis, a form of programmed necrotic cell death, is triggered by NLRP3 via gasdermin D (GSDMD). So far, pyroptosis has never been described either in healthy muscle or in dystrophic muscle. The aim of this study was to unravel the role of NLRP3 inflammasome in DMD and explore a potentially promising treatment with MCC950 that selectively inhibits NLRP3. Methods: Four‐week‐old mdx mice (n=6 per group) were orally treated for 2 months with MCC950 (mdx‐T), a highly potent, specific, small-molecule inhibitor of NLRP3, and compared with untreated (mdx) and wild-type (WT) mice. In vivo functional tests were carried out to measure the global force and endurance of mice. Ex vivo biochemical and molecular analyses were performed to evaluate the pathophysiology of the skeletal muscle. Finally, in vitro tests were conducted on primary cultures of DMD human myotubes. Results: After MCC950 treatment, mdx mice exhibited a significant reduction of inflammation, macrophage infiltration and oxidative stress (-20 to -65%, P<0.05 vs untreated mdx). Mdx‐T mice displayed considerably less myonecrosis (-54%, P<0.05 vs mdx) and fibrosis (-75%, P<0.01 vs mdx). Moreover, a more mature myofibre phenotype, characterized by larger-sized fibres and higher expression of mature myosin heavy chains 1 and 7 was observed. Mdx-T also exhibited enhanced force and resistance to fatigue (+20 to 60%, P<0.05 or less). These beneficial effects resulted from MCC950 inhibition of both active caspase-1 (-46%, P=0.075) and cleaved gasdermin D (N-GSDMD) (-42% in medium-sized-fibres, P<0.001). Finally, the anti-inflammatory action and the anti-pyroptotic effect of MCC950 were also recapitulated in DMD human myotubes. Conclusion: Specific inhibition of the NLRP3 inflammasome can significantly attenuate the dystrophic phenotype. A novel finding of this study is the overactivation of GSDMD, which is hampered by MCC950. This ultimately leads to less inflammation and pyroptosis and to a better muscle maturation and function. Targeting NLRP3 might lead to an effective therapeutic approach for a better management of DMD.Fund for Scientific Research de BĂ©lgica (FNRS)-PDR/T.0026.2

    Association between psoas abscess and prosthetic hip infection: a case-control study

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    Background and purpose The relationship between prosthetic hip infection and a psoas abscess is poorly documented. We determined the frequency of prosthetic hip infections associated with psoas abscesses and identified their determinants

    Chlamydia trachomatis prevalence in undocumented migrants undergoing voluntary termination of pregnancy: a prospective cohort study

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    BACKGROUND: Chlamydia trachomatis infection (CTI) is the most frequent sexual transmitted disease (STI) in Switzerland but its prevalence in undocumented migrants is unknown. We aimed to compare CTI prevalence among undocumented migrants undergoing termination of pregnancy (ToP) to the prevalence among women with residency permit. METHODS: This prospective cohort study included all pregnant, undocumented women presenting from March 2005 to October 2006 to the University hospital for ToP. The control group consisted of a systematic sample of pregnant women with legal residency permit coming to the same hospital during the same time period for ToP. RESULTS: One hundred seventy five undocumented women and 208 women with residency permit (controls) were included in the study. Mean ages were 28.0 y (SD 5.5) and 28.2 y (SD 7.5), respectively (p = 0.77). Undocumented women came primarily from Latin-America (78%). Frequently, they lacked contraception (23%, controls 15%, OR 1.8, 95% CI 1.04;2.9). Thirteen percent of undocumented migrants were found to have CTI (compared to 4.4% of controls; OR 3.2, 95% CI 1.4;7.3). CONCLUSION: This population of undocumented, pregnant migrants consisted primarily of young, Latino-American women. Compared to control women, undocumented migrants showed higher prevalence rates of genital CTI, which indicates that health professionals should consider systematic screening for STI in this population. There is a need to design programs providing better access to treatment and education and to increase migrants' awareness of the importance of contraception and transmission of STI

    Microsome-associated proteome modifications of Arabidopsis seedlings grown on board the International Space Station reveal the possible effect on plants of space stresses other than microgravity

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    11p.-2 fig.-6 tab.Growing plants in space for using them in bioregenerative life support systems during long-term human spaceflights needs improvement of our knowledge in how plants can adapt to space growth conditions. In a previous study performed on board the International Space Station (GENARA A experiment STS-132) we evaluate the global changes that microgravity can exert on the membrane proteome of Arabidopsis seedlings. Here we report additional data from this space experiment, taking advantage of the availability in the EMCS of a centrifuge to evaluate the effects of cues other than microgravity on the relative distribution of membrane proteins. Among the 1484 membrane proteins quantified, 227 proteins displayed no abundance differences between ” g and 1 g in space, while their abundances significantly differed between 1 g in space and 1 g on ground. A majority of these proteins (176) were over-represented in space samples and mainly belong to families corresponding to protein synthesis, degradation, transport, lipid metabolism, or ribosomal proteins. In the remaining set of 51 proteins that were under-represented in membranes, aquaporins and chloroplastic proteins are majority. These sets of proteins clearly appear as indicators of plant physiological processes affected in space by stressful factors others than microgravity.The authors would like to thank the National Aeronautics and Space Administration (NASA) who successfully performed the spaceflight experiment; they also thank the astronauts for performing the required tasks on board the ISS. We acknowledge the Norwegian User Support and Operations Center team (NUSOC) for the ground and space preparation of the GENARA-A experiment and we thank the European Aeronautic Defense and Space Company (Astrium EADS) for the design and building of the hardware. We also thank the European Space Agency (ESA) and the Centre National d’Etudes Spatiales(CNES) for their scientific and financial support.Peer reviewe

    Complications associated with transobturator sling procedures: analysis of 233 consecutive cases with a 27 months follow-up

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    <p>Abstract</p> <p>Backround</p> <p>The transobturator tape procedure (TOT) is an effective surgical treatment of female stress urinary incontinence. However data concerning safety are rare, follow-up is often less than two years, and complications are probably underreported. The aim of this study was to describe early and late complications associated with TOT procedures and identify risk factors for erosions.</p> <p>Methods</p> <p>It was a 27 months follow-up of a cohort of 233 women who underwent TOT with three different types of slings (Aris<sup>Âź</sup>, Obtape<sup>Âź</sup>, TVT-O<sup>Âź</sup>). Follow-up information was available for 225 (96.6%) women.</p> <p>Results</p> <p>There were few per operative complications. Forty-eight women (21.3%) reported late complications including <it>de novo </it>or worsening of preexisting urgencies (10.2%), perineal pain (2.2%), <it>de novo </it>dyspareunia (9%), and vaginal erosion (7.6%). The risk of erosion significantly differed between the three types of slings and was 4%, 17% and 0% for Aris<sup>Âź</sup>, Obtape<sup>Âź </sup>and TVT-O<sup>Âź </sup>respectively (P = 0.001). The overall proportion of women satisfied by the procedure was 72.1%. The percentage of women satisfied was significantly lower in women who experienced erosion (29.4%) compared to women who did not (78.4%) (RR 0.14, 95% CI 0.05-0.38, P < 0.001).</p> <p>Conclusion</p> <p>Late post operative complications are relatively frequent after TOT and can impair patient's satisfaction. Women should be informed of these potential complications preoperatively and require careful follow-up after the procedure. Choice of the safest sling material is crucial as it is a risk factor for erosion.</p
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