(Acetonitrile-κN)penta­carbonyl­tungsten(0)

The acetonitrile ligand in the title compound, [W(CH3CN)(CO)5], is coordinated end-on to a penta­carbonyl­tungsten(0) fragment with a W—N bond length of 2.186 (4) Å, completing an octa­hedral coordination environment around the W atom

Medical missionaries and modernity in south India: Ida Scudder (1870-1960) and the Christian Medical College

n recent academic works, the pioneering efforts of male missionaries in India in the nineteenth century have been recorded and analyzed in depth. However, these works have not sufficiently given attention to the labours of female missionaries. In particular, there is a lack of scholarship that examines the work of missionary women from a post-colonial perspective. This gap is due in part to the multivalent spaces women occupied, as wives and helpers as well as independent and often single missionary women. This thesis rectifies the lacuna in scholarship with a case study of Ida Sophia Scudder (1870-1960), a medical missionary in Vellore, South India. Ida Scudder lived within a specific moment of imperial history, beginning her missionary efforts at the height of Britain's imperial power, and continuing her work within an independent India. I argue that she must be understood as constructing and participating in imperial modernity in South India, and that she was embroiled in a history that is at once resistant to patriarchal social structures and complicit within these frameworks of nineteenth century colonialism in South Asia. Through primary source archival research in selections from Ida Scudder's correspondence, this thesis seeks to contribute to the historiography of (white, imperial) feminism during the colonial period in South India, examining how Ida Scudder and her work operated within the intersection of religion, medicine, feminism, and colonialism.Les études récentes sur l'histoire des missionnaires en Inde au dix-neuvième siècle analysent en profondeur les efforts de ces hommes pionniers. Cependant, ces travaux ne donnent pas suffisamment d'attention au travail de femmes missionnaires. Notamment, il manque d'études dévouées aux œuvres de femmes missionnaires à travers une perspective postcoloniale. Cette lacune s'explique en partie par les espaces multivalents que ces femmes occupaient en tant qu'épouses et assistantes, tout autant que femmes indépendantes et célibataires. Cette thèse rectifie ce décalage avec une étude de cas sur Ida Sophia Scudder (1870-1960), une médecin-missionnaire à Vellore, en Inde du Sud. Ida Scudder vît dans un moment précis de l'histoire impériale en Inde ; elle commença ses efforts de missionnaire à la hauteur de la puissance coloniale britannique, et continua son travail au sein d'un pays indépendant après 1948. Je soutiens que Scudder à la fois construit et participa dans une modernité impériale, et qu'elle est enracinée dans une histoire à la fois résistante aux structures sociales patriarcales et complice dans le cadre du colonialisme en Asie du Sud. En utilisant la recherche d'archives de source primaire dans les sélections de la correspondance d'Ida Scudder, cette thèse vise à contribuer à l'historiographie du féminisme (blanc, impérial) pendant la période coloniale dans le sud de l'Inde, en examinant comment Scudder et ses travaux opéraient à travers l'intersection de religion, médecine, féminisme, et colonialisme

Mesurer la capacité de patients atteints de la maladie d’Alzheimer à détecter les odeurs

National audienc

Clinical outcomes and direct costs after transcatheter aortic valve implantation in French centres : a longitudinal study of 1332 patients using a national database

Objectives: To describe the clinical outcomes of patients undergoing transcatheter aortic valve implantation (TAVI) and to determine the direct costs before and after TAVI. Methods: A nationwide longitudinal study using data extracted from the French Hospital Information System. Selection criteria: all patients who underwent TAVI between 1 January 2010 and 31 December 2010. Period of follow-up: 12 months preceding TAVI to 36 months after. End-points: mortality, morbidity and total costs of acute and rehabilitation care from the perspective of the hospital. Results: A total of 1332 patients (mean age: 82.0 ± 7.2 years; 50.2% men) were identified. The mean hospitalization length of stay was 13.5 ± 9.3 days. The intrahospital mortality from any cause was 7.9% during the index hospitalization, 8.8% at 30 days, 14.8% at 6 months, 18.4% at 1 year, 24.8% at 2 years and 32.3% at 3 years. The mean number of hospital stays per patient was 4.79 the year preceding TAVI and 4.11 the year after. The cumulated number of hospital stays at 2 and 3 years post-TAVI was 6.88 and 9.69, respectively. The mean hospitalization costs were 14 665€ the year preceding, 26 575€ for the index procedure and 12 308€ the year after TAVI. The cumulated hospitalization costs per patient at 3 years after TAVI were 22 110€ for acute hospitalizations and 5689€ for rehabilitation. Conclusions: Mortality at 3 years is consistent with other published studies. After TAVI, hospitalization stays in both acute and rehabilitation settings, and the associated costs do not appear to be reduced compared with the year preceding TAVI. The total cost for patients undergoing TAVI is substantial at 3 years

Impact d’un amorçage olfactif sur la prise alimentaire chez des patients Alzheimer

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Predicting length of stay with administrative data from acute and emergency care: an embedding approach

International audienceHospital beds management is critical for the quality of patient care, while length of inpatient stay is often estimated empirically by physicians or chief nurses of medical wards. Providing an efficient method for forecasting the length of stay (LOS) is expected to improve resources and discharges planning. Predictions should be accurate and work for as many patients as possible, despite their heterogeneous profiles. In this work, a LOS prediction method based on deep learning and embeddings is developed by using generic hospital administrative data from a French national hospital discharge database, as well as emergency care. Data concerned 497 626 stays of 304 931 patients from 6 hospitals in Lyon, France, from 2011 to 2019. Results of a 5-fold cross-validation showed an accuracy of 0.73 and a kappa score of 0.67 for the embeddings method. This outperformed the baseline which used the raw input features directly

Predicting length of stay with administrative data from acute and emergency care: an embedding approach

International audienceHospital beds management is critical for the quality of patient care, while length of inpatient stay is often estimated empirically by physicians or chief nurses of medical wards. Providing an efficient method for forecasting the length of stay (LOS) is expected to improve resources and discharges planning. Predictions should be accurate and work for as many patients as possible, despite their heterogeneous profiles. In this work, a LOS prediction method based on deep learning and embeddings is developed by using generic hospital administrative data from a French national hospital discharge database, as well as emergency care. Data concerned 497 626 stays of 304 931 patients from 6 hospitals in Lyon, France, from 2011 to 2019. Results of a 5-fold cross-validation showed an accuracy of 0.73 and a kappa score of 0.67 for the embeddings method. This outperformed the baseline which used the raw input features directly

Impact of olfactory priming on food intake in an Alzheimer's disease unit

International audienceAlzheimer's disease (AD) is often associated with feeding difficulties and changes in eating behavior with may lead to malnutrition. In French nursing homes, AD patients may live in special care units that better meet dementia residents' needs. However, meals are often delivered to AD patients by using meal trays coming from central kitchens. This led to the disappearance of cues that could help residents to foresee mealtime, such as the smell of food odors. The aim of the present study was to assess the impact of odorizing the dining room of AD Units with a meat odor before lunch on subsequent food intake and eating behavior. Thirty-two residents (>75 years old) from three AD Units were included in the study. They participated in two control lunches and two primed lunches, for which a meat odor was diffused in the dining room 15 minutes before the arrival of the meal tray (olfactory priming). Results of the first replication showed a significant effect of olfactory priming, with a 25% increase in meat and vegetable consumption compared to the control condition. Behavioral measurements also showed a significant increase of resident's interest toward the meal in the primed lunch. However, this effect was no longer observed when the priming session was replicated two weeks later with the same priming odor and the same menu. Although further research is needed to understand why this priming effect cannot be replicated, our experiment is one of the very first to investigate the effect of food odor priming on subsequent food intake in AD patients in a real-life setting

Health Care Institutions Volume Is Significantly Associated with Postoperative Outcomes in Bariatric Surgery

International audiencePURPOSE: The volume of bariatric surgery has significantly increased over the past decade with concomitant postoperative outcomes improvement. The goal of this nationwide study was to estimate the volume-outcome relationship in bariatric surgery at the hospital level. MATERIALS AND METHODS: A cross-sectional analysis of all patients who underwent bariatric surgery procedure in France from January 2011 to December 2014 was designed. Volume-outcome relationship was analyzed using generalized estimating equations. RESULTS: We identified 184,332 inpatient stays for bariatric surgical procedures performed in 606 hospitals. Health care institutions performing more than 200 bariatric cases per year were significantly associated with shorter average length of stay (p~\textless~0.001) and less frequent need for intensive or critical care unit (p~=~0.003) during the index stay in comparison with lower volume institutions. Reoperations rate increased from 3.1% [95% CI, 2.8-3.3] (n~=~5627) at 1~month to 4.9% [4.6-5.2] at 3~months and 8.2% [7.8-8.7] at 6~months. The risk of reoperation after gastric bypass was 1.37 times less frequent in higher volume institutions (>=~200 inpatient stays per year, p~=~0.003), while it was 1.26 times more frequent after gastric banding in higher volume institutions (p~=~0.057) and was unaltered regarding sleeve gastrectomy (p~=~0.819). CONCLUSION: This study showed for the first time in bariatric surgery that reoperation rate after gastric bypass or sleeve significantly increased at 3 and 6~months postoperatively. Health care institutions performing more than 200 bariatric cases per year were significantly associated with improved postoperative outcomes and less frequent need for reoperation