Déplacés et réfugiés : la mobilité sous contrainte

Considérant d'une part, que l'étude sur le terrain des transferts de population en cours de réalisation est rarement possible et, d'autre part, que les catégories usuelles d'analyse fondées sur la distinction entre "mouvement forcé" et "mouvement volontaire" masquent une réalité bien plus complexe, l'auteur suggère de centrer l'analyse sur les pratiques et les symboliques instituées par les populations concernées pour "faire face" aux déplacements. A partir de l'ethnographie d'un groupe nubien d'Egypte, migrant depuis l'Antiquité et transféré en Nouvelle Nubie en 1963 lors de la construction du barrage d'Assouan, l'auteur interroge les relations d'une population migrante à son territoire réel et mythique, montre comment un groupe peut transformer la contrainte migratoire en un élément identitaire valorisé et rend compte du rôle fondamental des interrelations entre migrants et sédentaires. (Résumé d'auteur

Research in review: the development of nurturance in young children

Journal ArticleAn important, perhaps essential, adult characteristic is the motivation and ability to be a skillful and sensitive caregiver. This ability is the core of effective parenting and is also needed by nonfamily child care providers, caregivers for the handicapped and elderly, loving partners, and even pet owners or plant growers. Nurturance involves fostering the development of another, whether it be animal, or plant in one's care, and, more broadly speaking, the people one supervises at work, coworkers, students, neighbors, friends, lovers, and all family members of whatever age. In this review, we look at the developmental roots of nurturance in early childhood and assess evidence that relates to the question "Under what conditions might young children display nurturant behaviors?" Thus we examine factors such as child characteristics (for example, the child's sex or age), characteristics of the object of nurturance (for example, the behavior of an infant who might be nurtured by an older child), and selected aspects of the situation (for example, the involvement of adults in encouraging the child to be nurturant) that may affect how nurturance develops

Cryogenic Origin for Mars Analog Carbonates in the Bockfjord Volcanic Complex Svalbard (Norway)

The Sverrefjell and Sigurdfjell eruptive centers in the Bockfjord Volcanic Complex (BVC) on Svalbard (Norway) formed by subglacial eruptions ca. 1 Ma ago. These eruptive centers carry ubiquitous magnesian carbonate deposits including dolomitemagnesite globules similar to those in the Martian meteorite ALH84001. Carbonates in mantle xenoliths are dominated by ALH84001 type carbonate globules that formed during quenching of CO2-rich mantle fluids. Lava hosted carbonates include ALH84001 type carbonate globules occurring throughout lava vesicles and microfractures and massive carbonate deposits associated with vertical volcanic vents. Massive carbonates include < or equal 5 cm thick magnesite deposits protruding downwards into clear blue ice within volcanic vents and carbonate cemented lava breccias associated with volcanic vents. Carbonate cements comprise layered deposits of calcite, dolomite, huntite, magnesite and aragonite associated with ALH84001 type carbonate globules lining lava vesicles. Combined Mossbauer, XRD and VNIR data show that breccia carbonate cements at Sverrefjell are analog to Comanche carbonates at Gusev crater

Strain-induced partially flat band, helical snake states, and interface superconductivity in topological crystalline insulators

Topological crystalline insulators in IV-VI compounds host novel topological surface states consisting of multi-valley massless Dirac fermions at low energy. Here we show that strain generically acts as an effective gauge field on these Dirac fermions and creates pseudo-Landau orbitals without breaking time-reversal symmetry. We predict the realization of this phenomenon in IV-VI semiconductor heterostructures, due to a naturally occurring misfit dislocation array at the interface that produces a periodically varying strain field. Remarkably, the zero-energy Landau orbitals form a flat band in the vicinity of the Dirac point, and coexist with a network of snake states at higher energy. We propose that the high density of states of this flat band gives rise to interface superconductivity observed in IV-VI semiconductor multilayers at unusually high temperatures, with non-BCS behavior. Our work demonstrates a new route to altering macroscopic electronic properties to achieve a partially flat band, and paves the way for realizing novel correlated states of matter.Comment: Accepted by Nature Physic

Annealing schedule from population dynamics

We introduce a dynamical annealing schedule for population-based optimization algorithms with mutation. On the basis of a statistical mechanics formulation of the population dynamics, the mutation rate adapts to a value maximizing expected rewards at each time step. Thereby, the mutation rate is eliminated as a free parameter from the algorithm.Comment: 6 pages RevTeX, 4 figures PostScript; to be published in Phys. Rev.

Synthesis of Spherical 4R Mechanism for Path Generation using Differential Evolution

The problem of path generation for the spherical 4R mechanism is solved using the Differential Evolution algorithm (DE). Formulas for the spherical geodesics are employed in order to obtain the parametric equation for the generated trajectory. Direct optimization of the objective function gives the solution to the path generation task without prescribed timing. Therefore, there is no need to separate this task into two stages to make the optimization. Moreover, the order defect problem can be solved without difficulty by means of manipulations of the individuals in the DE algorithm. Two examples of optimum synthesis showing the simplicity and effectiveness of this approach are included.Comment: Submitted to Mechanism and Machine Theor

Correlations between FEV1 and patient-reported outcomes: A pooled analysis of 23 clinical trials in patients with chronic obstructive pulmonary disease.

BACKGROUND: In clinical trials of inhaled bronchodilators, chronic obstructive pulmonary disease (COPD) guidelines recommend that patient-reported outcomes (PROs) are assessed alongside lung function. How these endpoints are related is unclear. METHODS: Pooled longitudinal data from 23 randomised controlled COPD studies were analyzed (N = 23,213). Treatments included long-acting β2 agonists, long-acting muscarinic antagonists (LABAs or LAMAs) and the LABA/LAMA combination QVA149. Outcome measures were Transition Dyspnoea Index (TDI) and St. George's Respiratory Questionnaire (SGRQ) scores, COPD exacerbation frequency and rescue medication use. Relationships between changes in trough forced expiratory volume in one second (ΔFEV1) and outcomes following treatment were assessed using correlations of data summaries and model-based analysis: generalized linear mixed-effect regression modeling to determine if ΔFEV1 could predict patient outcomes with different treatments. RESULTS: Mean age was 64 years, 73% were male, and most had moderate (45%) or severe (52%) disease. Statistically significant correlations were observed between ΔFEV1 and each outcome measure (exacerbations Rs = 0.05; rescue medication, SGRQ, TDI, r = 0.11-0.16; all p < .001). Patients with greater improvements in trough FEV1 had on average better SGRQ and TDI scores, fewer exacerbations, and used less rescue medication. For SGRQ and TDI scores, minimal clinically important differences were observed over the range of pooled ΔFEV1 values. Model-based predictions confirmed the treatment effect was partly explained by changes in FEV1 from baseline with improvements in PROs observed across all treatments when trough FEV1 improved. Across all endpoints active treatments were better than placebo (p < .0001), and LABA/LAMA treatment resulted in numerically better treatment outcomes than either monocomponent. CONCLUSIONS: These data suggest that FEV1 improvements post-bronchodilation correlate with PRO improvements. Further improvements in patient outcomes may be expected by maximizing lung function improvements. TRIAL REGISTRATION: Registration details for the 23 randomised controlled studies used in this pooled analysis are supplied in Additional File 4

Effects of Apremilast, an Oral Inhibitor of Phosphodiesterase 4, in a Randomized Trial of Patients With Active Ulcerative Colitis

Background & Aims New oral therapeutic agents are needed for patients with ulcerative colitis (UC) who are unresponsive or intolerant to conventional therapy. Methods We performed a double-blind, phase 2 trial of adults with active UC for 3 months or more who were naive to biologic therapy or had been failed by, could not tolerate, or had contraindications to conventional therapies. The study was performed at 61 sites in 14 countries (screening from January 2015 through May 2017). Patients were randomly assigned to groups given apremilast 30 mg (n = 57), apremilast 40 mg (n = 55), or placebo (n = 58) twice daily for 12 weeks; patients were then randomly assigned to groups that received apremilast, 30 or 40 mg twice daily, for an additional 40 weeks. Endoscopies were performed and biopsies were collected during the screening phase, at week 12, and at week 52. Blood and fecal samples were also collected and analyzed throughout the study. The primary endpoint was clinical remission at week 12, defined as a total Mayo score of 2 or less, with no individual subscore above 1. Results Clinical remission was achieved at week 12 by 31.6% of patients in the 30 mg apremilast group and 12.1% of patients in the placebo group (P = .01). However, only 21.8% of patients in the 40 mg apremilast group achieved clinical remission at week 12 (P = .27 compared with placebo). Differences in clinical remission between the 30 mg and 40 mg apremilast groups were associated with differences in endoscopic improvement. Both apremilast groups had similar improvements from baseline in Mayo score components (stool frequency score, rectal bleeding score, physician's global assessment). The 30 mg and 40 mg apremilast groups had greater median percent reductions in C-reactive protein (measured by a high-sensitivity blood test) and fecal calprotectin through week 12 than the placebo group. At week 52, clinical remission was achieved by 40.4% of patients initially assigned to the apremilast 30 mg group and 32.7% of patients initially assigned to the apremilast 40 mg group. The most frequent apremilast-associated adverse events were headache and nausea. Conclusions Although the primary endpoint of clinical remission was not met in this phase 2 trial, a greater proportion of patients with active UC who received apremilast (30 mg or 40 mg) had improvements in clinical and endoscopic features, and markers of inflammation, at 12 weeks. Clinical remission was maintained to week 52 in up to 40% of patients who continued apremilast until that time point. ClinicalTrials.gov no: NCT0228941

Gravitational Microlensing of Fractal Sources

Gravitational microlensing has proven to be a powerful tool in the study of quasars, providing some of the strongest limits on the scales of structure in the central engine. Typically sources are considered to be smoothly varying on some particular scale; such simple sources result in recognisable time scales in microlensing light curves from which the size of the source can be determined. Various emission processes, however, result in sources with a fractal appearance, possessing structure on a range of scales. Here, the gravitational microlensing of such fractal sources at the heart of quasars is considered. It is shown that the resulting light curves reflect the fractal nature of the sources, possessing pronounced structure at various scales, markedly different to the case with the random distribution of emission clouds that are typically considered. Hence, the determination of a characteristic scale of variability in a microlensing light curve may not necessarily reveal the size of the individual emission clouds, the key value that is required to determine the physical state of the emission region, rather it may correspond to a particular hierarchy in a fractal structure. Current X-ray satellites can detect such fractal structure via the monitoring of gravitationally lensed quasars during a microlensing event, providing a test of high energy emission processes in quasars.Comment: 6 pages, 2 figures. Accepted for publication in MNRA

Coccydynia

Coccydynia is a term that refers to pain in the region of the coccyx. Most cases are associated with abnormal mobility of the coccyx which may trigger a chronic inflammatory process leading to degeneration of this structure. In some patients this instability may be detected on dynamic radiographs. Nonsurgical management remains the gold standard treatment for coccydynia, consisting of decreased sitting, seat cushioning, coccygeal massage, stretching, manipulation, local injection of steroids or anesthetics, and postural adjustments. Those patients who fail these conservative modalities may potentially benefit from coccygectomy. However, surgical intervention is typically reserved for patients with evidence of advanced coccygeal instability (e.g., subluxation or hypermobility) or spicule formation, as this population appears to exhibit the greatest improvement postoperatively