COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P < 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

Effet getter de multicouches métalliques pour des applications MEMS. Etude de la relation Elaboration - Microstructure - Comportement

L'objectif de cette thèse est d'établir les liens entre élaboration, microstructure et comportement des getters non-évaporables (NEG) en couches minces, en vue de leur utilisation dans le cadre du packaging collectif des MEMS sous vide ou sous atmosphère contrôlée. Après une étude bibliographique sur l'herméticité des MEMS et l'effet getter, la modification du comportement de piégeage de gaz par les NEG couches minces, engendré par l'ajout de sous-couches métalliques, est mise en évidence. Afin d'expliquer cette influence, la microstructure des couches minces est étudiée, notamment sa dépendance aux paramètres d'élaboration et aux traitements thermiques. Ensuite, le comportement macroscopique de piégeage de l'azote est caractérisé, de même que les mécanismes microscopiques d'activation et de pompage. Ces derniers permettent finalement d'élaborer quelques recommandations pour l'intégration des NEG couches minces dans les MEMS.Whilst satisfying low-cost requirements, performances and lifetime of many MEMS can be enhanced by performing wafer-level packaging of devices under vacuum or controlled atmosphere conditions. However, this implies the use of non-evaporable getters (NEG) inside MEMS cavities for residual gases removal. Relationships between elaboration, microstructure and pumping behavior of NEG thin films are investigated in this thesis. After a literature review on MEMS hermetic sealing and getter effect, NEG thin films pumping behavior modification by metallic sub-layers addition is presented. Then, in order to explain this modification, elaboration parameters and thermal treatments influence on thin films microstructure is analyzed. Lastly, nitrogen gettering behavior of NEG is characterized, as well as activation and pumping mechanisms. From these results, some recommendations for NEG thin films integration in MEMS are finally proposed.SAVOIE-SCD - Bib.électronique (730659901) / SudocGRENOBLE1/INP-Bib.électronique (384210012) / SudocGRENOBLE2/3-Bib.électronique (384219901) / SudocSudocFranceF

Modelling the spatial and temporal variability of the SW lagoon of New Caledonia II: Realistic 3D simulations compared with in situ data

Coral reef lagoons are under the growing influence of anthropogenic activities, leading to increasing loads of nutrients and various contaminants. Modelling approaches are a useful tool for studying such a complex coastal environment. In this study, we carried out the development of a three-dimensional coupled hydrodynamical-biogeochemical model of the south-west lagoon of New Caledonia. The biogeochemical model presented in Faure et al. (2006, 2010) was dynamically coupled with a hydrodynamical model (MARS3D) in order to study the short-term variability of the ecosystem. Two simulations (in winter and summer) were then performed from measured initial conditions using realistic wind and irradiance conditions and river inputs. Examinations of the biogeochemical response to these transient meteorological conditions were presented and compared with temporal field data corresponding to the considered periods. Results highlighted the ecosystem functioning, based on the balance of hydrodynamical and biogeochemical processes. Influence of urban and terrigeneous inputs were limited to the coastal zone. The model accurately reproduced the measured Chl.a and bacterial production, highlighting the improvement made on the biogeochemical model. However, the underestimation of some variables in model outputs, in particular nutrients, led us to focus on different inputs, such as sediment inputs which were not taken into account or properly estimated. Moreover, the role of boundary waters appeared crucial and suggested a calibration effort. Last, the final aim of our modelling study will help the development of a useful tool for studying the key processes of the ecosystem of the south-west lagoon of New Caledonia, as well as the examination of the biogeochemical response under different scenarios. (C) 2010 Elsevier Ltd. All rights reserved

Modelling the spatial and temporal variability of the SW lagoon of New Caledonia I: A new biogeochemical model based on microbial loop recycling

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Impact of OSA primary therapy on antihypertensive drugs use

International audienceNo abstract availabl

Investigation of mechanistic formulations depicting phytoplankton dynamics for models of marine pelagic ecosystems and description of a new model

International audienceRealistic modelling of marine ecosystems is necessary for improving our understanding of the ocean's biogeochemical state and for predicting their response to anthropic perturbations. An essential step in achieving this task is the use of mechanistic formulations to describe the biogeochemical processes involved in the dynamics of marine pelagic ecosystems. This study provides a review on some modelling strategies for some of the key processes involved in the dynamics of phytoplankton. It encompasses the most advanced work in terms of mechanistic understanding and, therefore, mainly deals with photosynthesis (including photoacclimation and photoinhibition), respiration, and nutrient uptake (including multi-limitation of algal growth by nutrients). We highlight, that in many ecosystem models, phytoplankton processes are still described more or less empirically, mainly due to a lack of biochemical knowledge, or if a mechanistic formulation exists, the parameters are often difficult to assess experimentally. As a result of this investigation, a preliminary structure for a generic phytoplankton model is delivered in the last section of this paper. This model includes a mechanistic representation of photosynthesis/photoinhibition based on photosystem II status, as well as new formulations for photoacclimation and dissolved organic matter exudation processes. The model sensitivity analysis with regard to its parameters and a comparison with chemostat experimental data are presented in a companion paper [Baklouti, M., Faure, V., Pawlowski, L., Sciandra, A., 2006. Investigation and sensitivity analysis of a mechanistic phytoplankton model implemented in a new modular numerical tool (Eco3M) dedicated to biogeochemical modelling. Progress in Oceanography]. Finally, this new class of multi-element, multi-species phytoplankton models will provide the basis for future studies on ecosystem modelling. (C) 2006 Elsevier Ltd. All rights reserved

Intrusion of Rhone River diluted water into the Bay of Marseille: Generation processes and impacts on ecosystem functioning

The Rhone River provides the largest inputs of terrestrial freshwater and nutrients into the Mediterranean Sea. The Rhone River diluted water intrusions into the Bay of Marseille were investigated, examining their physical generation processes and associated biogeochemical impact by using in situ observations, remote sensing data, and a three-dimensional physical/biogeochemical coupled model. During our study period from 2007 to 2011, Rhone River intrusions occurred on average 7.6 times per year and affected more frequently the northern part of the bay. A classification of intrusion events in three categories is proposed (short lived, big, and small) as a function of their duration and spatial extent. The intrusions appeared to be driven by: (i) wind forcing, (ii) the presence of a mesoscale eddy, (iii) the Rhone River discharge volume, and (iv) the variation in thermocline depth. Typically, a combination of these favorable factors was necessary to induce an intrusion. An intrusion strongly impacts the biogeochemical functioning of the Bay of Marseille by bringing large quantities of nutrients into the bay. Mass balances were computed allowing us to quantify this impact on the Bay of Marseille. The results show that the ecological impact depends very much on the type of intrusion, with big intrusions having the highest impact

New Caledonia surface lagoon chlorophyll modeling as coastal reef area health indicator

The major part of the New Caledonia (NC) lagoon was classified as UNESCO Natural Site of Humanity Patrimony. Indeed, 22 175 km(2) of tropical coral lagoon area exhibit high biodiversity. The NC lagoon is semi enclosed and connected to the Coral Sea through a barrier reef segmented by narrow passes. The environment is oligotrophic, due to important flush during trade winds events, and bathymetry is highly variable. In order to predict eutrophication events, we used an extension of a 3D coupled physical-biogeochemical model recently developed on NC south western lagoon. The model is based on the Nitrogen and Carbon cycles, relating the variable stoechiometry of the elements in each biological compartment. The ecological model was developed to include an explicit description of the microbial loop. The resulting coupled model, forced by tide, wind, light, temperature and freshwater inputs, was used to calculate phytoplankton biomass, bacterial production, dissolved organic matter concentrations and nutrient recycling. Here we present results issued from the 3D coupled model ECO3M_LAGOON (biogeochemical, LOPB-IRD) and MARS3D (regional physical model, IFREMER-IRD) describing spatial and temporal interactions between water motion and biology, on larger domain including reef barrier and water exchanges through ocean-lagoon interface. To validate physical processes in the lagoon we used in situ data collected during field cruise (ValHyBio 2008, La Nina episode). Surface chlorophyll concentrations are compared with water color data from ValHyBio cruise and satellite date (MODIS/MERIS) corrected from bathymetry effects