Digital transformation of health and care to sustain Planetary Health : The MASK proof-of-concept for airway diseases-POLLAR symposium under the auspices of Finland's Presidency of the EU, 2019 and MACVIA-France, Global Alliance against Chronic Respiratory Diseases (GARD, WH0) demonstration project, Reference Site Collaborative Network of the European Innovation Partnership on Active and Healthy Ageing

In December 2019, a conference entitled "Europe That Protects: Safeguarding Our Planet, Safeguarding Our Health" was held in Helsinki. It was co-organized by the Finnish Institute for Health and Welfare, the Finnish Environment Institute and the European Commission, under the auspices of Finland's Presidency of the EU. As a side event, a symposium organized as the final POLLAR (Impact of air POLLution on Asthma and Rhinitis) meeting explored the digital transformation of health and care to sustain planetary health in airway diseases. The Finnish Allergy Programme collaborates with MASK (Mobile Airways Sentinel NetworK) and can be considered as a proof-of-concept to impact Planetary Health. The Good Practice of DG Sante (The Directorate-General for Health and Food Safety) on digitally-enabled, patient-centred care pathways is in line with the objectives of the Finnish Allergy Programme. The ARIACARE-Digital network has been deployed in 25 countries. It represents an example of the digital cross-border exchange of real-world data and experience with the aim to improve patient care. The integration of information technology tools for climate, weather, air pollution and aerobiology in mobile Health applications will enable the development of an alert system. Citizens will thus be informed about personal environmental threats, which may also be linked to indicators of Planetary Health and sustainability. The digital transformation of the public health policy was also proposed, following the experience of the Agency for Health Quality and Assessment of Catalonia (AQuAS).Peer reviewe

ARIA digital anamorphosis : Digital transformation of health and care in airway diseases from research to practice

Digital anamorphosis is used to define a distorted image of health and care that may be viewed correctly using digital tools and strategies. MASK digital anamorphosis represents the process used by MASK to develop the digital transformation of health and care in rhinitis. It strengthens the ARIA change management strategy in the prevention and management of airway disease. The MASK strategy is based on validated digital tools. Using the MASK digital tool and the CARAT online enhanced clinical framework, solutions for practical steps of digital enhancement of care are proposed.Peer reviewe

miCampoApp: A Participatory Research Tool for Agroecology

Agroecology, defined as the ecological science of food production is also as practical approach to design food production systems based on local concerted solutions that aim to promote synergy among the diversity of human and non human food systems elements. These two facets makes agroecology a good candidate for participatory research. Information technology should help using this information for the production of structured scientific knowledge. In this respect, there is a need for information technology that is adaptive to encompass the diversity of within and between systems and that provide benefit to farmers that feed it with data. We present MiCampoApp, a webapp that aims to join participatory research and certification in agroecology, with two roles, the farmer and the administrator. The idea to join participatory research for decision support with certification for market differentiation in single system is that much of the certification data harbors information for scientific research, and this incentivize data collection for the interest of the farmer and the community. The administrator create a model for data collection in order to solve a research question of interest for a communities or to produce traceability information to feed participatory guarantee system in a community. The farmer collects information using simple icons and produces traceability pages for research or certification purposes

miCampoApp: A Participatory Research Tool for Agroecology

Agroecology, defined as the ecological science of food production is also as practical approach to design food production systems based on local concerted solutions that aim to promote synergy among the diversity of human and non human food systems elements. These two facets makes agroecology a good candidate for participatory research. Information technology should help using this information for the production of structured scientific knowledge. In this respect, there is a need for information technology that is adaptive to encompass the diversity of within and between systems and that provide benefit to farmers that feed it with data. We present MiCampoApp, a webapp that aims to join participatory research and certification in agroecology, with two roles, the farmer and the administrator. The idea to join participatory research for decision support with certification for market differentiation in single system is that much of the certification data harbors information for scientific research, and this incentivize data collection for the interest of the farmer and the community. The administrator create a model for data collection in order to solve a research question of interest for a communities or to produce traceability information to feed participatory guarantee system in a community. The farmer collects information using simple icons and produces traceability pages for research or certification purposes

miCampoApp: A Participatory Research Tool for Agroecology

International audienceAgroecology, defined as the ecological science of food production is also as practical approach to design food production systems based on local concerted solutions that aim to promote synergy among the diversity of human and non human food systems elements. These two facets makes agroecology a good candidate for participatory research. Information technology should help using this information for the production of structured scientific knowledge. In this respect, there is a need for information technology that is adaptive to encompass the diversity of within and between systems and that provide benefit to farmers that feed it with data. We present MiCampoApp, a webapp that aims to join participatory research and certification in agroecology, with two roles, the farmer and the administrator. The idea to join participatory research for decision support with certification for market differentiation in single system is that much of the certification data harbors information for scientific research, and this incentivize data collection for the interest of the farmer and the community. The administrator create a model for data collection in order to solve a research question of interest for a communities or to produce traceability information to feed participatory guarantee system in a community. The farmer collects information using simple icons and produces traceability pages for research or certification purposes

Critical limb ischaemia and the response to bone marrow-derived cell therapy according to tcPO 2 measurement

International audienc

Late cardiac adverse events in patients with cancer treated with immune checkpoint inhibitors

International audienceBackground Immune checkpoint inhibitor (ICI)-associated early cardiac adverse events (CAEs), mostly acute and fulminant myocarditis, have been well characterized and mainly occur during the first 90 days after ICI therapy initiation. ICI-associated late CAEs (occurring after the first 90 days of treatment) have not yet been described.Methods First, we compared characteristics of a cohort involving early (defined as a CAE time to onset (TTO) of 90 days after ICI therapy initiation) ICI-associated CAE consecutive cases who were referred to three French cardio-oncology units. Second, ICI-associated CAE cases were searched in VigiBase, the WHO global individual case safety report database, and early and late ICI-associated CAEs were compared.Results In the cohort study, compared with early CAE cases (n=19, median TTO of 14 days), late ICI-associated CAE cases (n=19, median TTO of 304 days) exhibited significantly more left ventricular systolic dysfunction (LVSD) and heart failure (HF) and less frequent supraventricular arrhythmias. In VigiBase, compared with early cases (n=437, 73.3%, median TTO 21 days), the late ICI-associated CAE reports (n=159, 26.7%, median TTO 178 days) had significantly more frequent HF (21.1% vs 31.4%, respectively, p=0.01). Early and late ICI-associated CAE cases had similarly high mortality rates (40.0% vs 44.4% in the cohort and 30.0% vs 27.0% in VigiBase, respectively).Conclusions Late CAEs could occur with ICI therapy and were mainly revealed to be HF with LVSD.Trial registration numbersNCT03678337, NCT03882580, and NCT03492528

A minisatellite-based MLVA for deciphering the global epidemiology of the bacterial cassava pathogen Xanthomonas phaseoli pv. manihotis

International audienceCassava Bacterial Blight (CBB) is a destructive disease widely distributed in the different areas where this crop is grown. Populations studies have been performed at local and national scales revealing a geographical genetic structure with temporal variations. A global epidemiology analysis of its causal agent Xanthomonas phaseoli pv. manihotis ( Xpm ) is needed to better understand the expansion of the disease for improving the monitoring of CBB. We targeted new tandem repeat (TR) loci with large repeat units, i.e. minisatellites, that we multiplexed in a scheme of Multi-Locus Variable number of TR Analysis (MLVA-8). This genotyping scheme separated 31 multilocus haplotypes in three clusters of single-locus variants and a singleton within a worldwide collection of 93 Xpm strains isolated over a period of fifty years. The major MLVA-8 cluster 1 grouped strains originating from all countries, except the unique Chinese strain. On the contrary, all the Xpm strains genotyped using the previously developed MLVA-14 microsatellite scheme were separated as unique haplotypes. We further propose an MLVA-12 scheme which takes advantage of combining TR loci with different mutation rates: the eight minisatellites and four faster evolving microsatellite markers, for global epidemiological surveillance. This MLVA-12 scheme identified 78 haplotypes and separated most of the strains in groups of double-locus variants (DLV) supporting some phylogenetic relationships. DLV groups were subdivided into closely related clusters of strains most often sharing the same geographical origin and isolated over a short period, supporting epidemiological relationships. The main MLVA-12 DLV group#1 was composed by strains from South America and all the African strains. The MLVA-12 scheme combining both minisatellite and microsatellite loci with different discriminatory power is expected to increase the accuracy of the phylogenetic signal and to minimize the homoplasy effects. Further investigation of the global epidemiology of Xpm will be helpful for a better control of CBB worldwide