Effect of being seen on the production of visible speech cues. A pilot study on Lombard speech

International audienceSpeech produced in noise (or Lombard speech) is characterized by increased vocal effort, but also by amplified lip gestures. The current study examines whether this enhancement of visible speech cues may be sought by the speaker, even unconsciously, in order to improve his visual intelligibility. One subject played an interactive game in a quiet situation and then in 85dB of cocktail-party noise, for three conditions of interaction: without interaction, in face-to-face interaction, and in a situation of audio interaction only. The audio signal was recorded simultaneously with articulatory movements, using 3D electromagnetic articulography. The results showed that acoustic modifications of speech in noise were greater when the interlocutor could not see the speaker. Furthermore, tongue movements that are hardly visible were not particularly amplified in noise. Lip movements that are very visible were not more enhanced in noise when the interlocutors could see each other. Actually, they were more enhanced in the situation of audio interaction only. These results support the idea that this speaker did not make use of the visual channel to improve his intelligibility, and that his hyper articulation was just an indirect correlate of increased vocal effort

Apport de la théorie des représentations sociales à l’éducation relative à l’environnement - Conditions pour un design de recherche

La théorie des représentations sociales offre un éclairage particulier favorisant une meilleure compréhension des rapports entre la personne, le groupe social et l’environnement ; elle permet de mieux saisir les dynamiques sociales impliquées dans les enjeux environnementaux. Cet article rappelle d’abord certains aspects fondamentaux du contenu, de la structure et de la dynamique des représentations sociales. Il souligne ensuite quatre conditions minimales qui doivent être prises en compte dans un design de recherche en ce domaine. Elles ont trait à la complexité du phénomène étudié, à la diversité de ses manifestations, à l’ancrage social et aux rapports entre représentations et pratiques. Ces quelques réflexions, basées sur l’analyse des recherches menées jusqu’ici sur les représentations sociales du domaine de l’environnement, ont pour but d’améliorer les designs de recherche et d’optimaliser les retombées relatives à l’intervention éducative.The theory of social representations offers an interesting approach to better understand the person – social group – environment relationships as well as the social dynamics associated with environmental issues. Firstly, this paper underlines certain fundamental aspects of the content, structure and dynamics of social representations. Afterwards, it presents a minimum of four conditions to be taken under consideration while designing a research in this area. These conditions are related to the complexity of the studied phenomenon, to the diversity of its manifestations, to social anchorage and to the relations between representations and practices. These reflections, based on the analysis of researches conducted to date on the social representations of the environment, aim at the improvement of research designs and the enhancement of spin-offs related to educational interventions

Chikungunya intra-vector dynamics in Aedes albopictus from Lyon (France) upon exposure to a human viremia-like dose range reveals vector barrier’s permissiveness and supports local epidemic potential

Arbovirus emergence and epidemic potential, as approximated by the vectorial capacity formula, depends on host and vector parameters, including the vector’s intrinsic ability to replicate then transmit the pathogen known as vector competence. Vector competence is a complex, time-dependent,quantitative phenotype influenced by biotic and abiotic factors. A combination of experimental andmodelling approaches is required to assess arbovirus intra-vector dynamics and estimate epidemicpotential. In this study, we measured infection, dissemination, and transmission dynamics of chikungunya virus (CHIKV) in a field-derived Aedes albopictus population (Lyon, France) after oral exposureto a range of virus doses spanning human viraemia. Statistical modelling indicates rapid and efficientCHIKV progression in the vector mainly due to an absence of a dissemination barrier, with 100% ofthe infected mosquitoes ultimately exhibiting a disseminated infection, regardless of the virus dose.Transmission rate data revealed a time-dependent, but overall weak, transmission barrier, with individuals transmitting as soon as 2 days post-exposure (dpe) and >50% infectious mosquitoes at 6dpe for the highest dose. Based on these experimental intra-vector dynamics data, epidemiologicalsimulations conducted with an agent-based model showed that even at low mosquito biting rates,CHIKV could trigger outbreaks locally. Together, this reveals the epidemic potential of CHIKV upontransmission by Aedes albopictus in mainland Franc

La gestion alternative des eaux pluviales permet-elle une maîtrise efficace des flux de micropolluants? Retour d'expérience des projets Matriochkas, MicroMégas et Roulépur

Novatech 2019, LYON, FRANCE, 01-/07/2019 - 05/07/2019The pooling of results from three French projects (Matriochkas, MicroMégas and Roulépur), within the framework of a working group on methodological harmonisation, makes it possible to analyse the performance of a wide range of stormwater control measures (SCMs) in terms of micropollutant load reduction. Data covers 12 management systems, in 9 different urban contexts. The results highlight the diversity of runoff contamination levels and of their distribution between dissolved and particulate phases. They show significant reductions in particulate pollutants for all filtration-based systems, and less for those that only allow sedimentation. Performance is more limited for the dissolved phase, for which concentration reduction is limited and significant load reductions are only achieved due to a reduction in runoff volumes in structures promoting evapotranspiration.La mise en commun de résultats issus des projets français Matriochkas, MicroMégas et Roulépur, dans le cadre d'un groupe de travail d'échanges et d'harmonisation méthodologiques, permet d'analyser l'efficacité de la gestion alternative des eaux pluviales en termes de réduction des flux de micropolluants, pour 12 dispositifs de gestion et 9 contextes urbains différents. Les résultats soulignent la diversité des niveaux de contamination des eaux de ruissellement, et de leur distribution entre phases dissoutes et particulaires. Ils démontrent des abattements importants des polluants particulaires pour l'ensemble des systèmes basés sur la filtration, et moindre pour ceux ne permettant que la sédimentation. Les performances sont plus limitées pour les concentrations dissoutes, de sorte que seul un abattement des volumes de ruissellement, dans les ouvrages favorisant l'évapotranspiration, permet une réduction significative des flux de micropolluants dissou

Le développent d'un guide méthodologique pour l'évaluation des performances des ouvrages de maîtrise à la source des eaux pluviales

Novatech 2019, LYON, FRANCE, 01-/07/2019 - 05/07/2019Evaluating the performance of sustainable drainage systems (SuDS) in a field context presents a number of methodological problems. For this reason, as a part of three French research projects focused on this type of evaluation, Matriochkas, Micromegas and Roulepur, a working group on methodological harmonisation was established in order to facilitate the inter-comparison of results between the projects and propose a methodological guideline for practitioners carrying out such evaluations. The guideline proposes an approach where performance is evaluated with respect to a service function that the SuDS aims to achieve, itself identified from local issues. Its first section presents the various service functions which may be assigned to these devices. Next, performance indicators are defined for a selection of the identified service functions, common within the French context and studied as a part of the three projects. Three categories of indicators are identified: hydrologic indicators (relative to water flows), pollutant indicators and socio-technical indicators. Examples of instrumentation and of the application of the proposed indicators drawn from the experience of the three projects are also presented.L'évaluation in situ des performances des ouvrages de maîtrise à la source des eaux pluviales pose un grand nombre de questions d'ordre méthodologique. Ainsi, dans le cadre de trois projets de recherche français dédiés à ce type d'évaluation, Matriochkas, Micromegas et Roulépur, un groupe de travail sur l'harmonisation des méthodes a été constitué afin de faciliter l'inter-comparaison des résultats issus des projets, mais aussi de rédiger un guide méthodologique à destination des acteurs opérationnels pouvant être amenés à faire ce type d'étude. Ce guide propose une démarche où la performance est évaluée pour chaque fonction de service visée pour l'ouvrage, en réponse à des enjeux locaux. La première partie du guide détaille les fonctions de service pouvant être attendues de ce type d'ouvrage. Ensuite, des indicateurs de performance sont déclinés pour une sélection de fonctions de service couramment rencontrées dans le contexte français et qui ont pu être abordées au cours des projets. Ces indicateurs se regroupent en trois catégories: les indicateurs hydrologiques (relatifs aux flux d'eau), les indicateurs pollutifs (relatifs aux polluants) et les indicateurs sociotechniques. Le guide s'appuie sur des exemples issus des trois projets pour présenter des cas pratiques de dispositifs métrologiques et d'application des indicateurs proposés

Une agglomération rurale gallo-romaine des rives de l’Étang de Berre

En 2011, une fouille archéologique préventive réalisée à Istres, au pied de la colline du Castellan n, a mis au jour les vestiges d’une agglomération rurale gallo-romaine, qui prend la suite d’une agglomération de hauteur des premier et second âges du fer, avant d’être démantelée par des récupérateurs de matériaux à la fin du IVe siècle ou au début du Ve siècle. Idéalement située dans l’environnement varié à proximité de l’étang de Berre, de la plaine de la Crau, des zones humides de Camargue et de la Méditerranée, cette agglomération a su tirer parti des ressources naturelles disponibles et de sa proximité avec le port antique de Fos, lieu d’échange des produits du commerce maritime. Les bâtiments, leurs aménagements et le mobilier révèlent la vie quotidienne et les pratiques culturelles d’une population gauloise rurale. La découverte de deux sépultures et d’un bûcher placés au plus près des vivants témoigne également des coutumes funéraires locales. Au total, ces investigations renouvellent profondément notre vision de l’occupation du territoire et des modes de peuplement à l’ouest de l’étang de Berte. Aux villae, établissements et bergeries viennent désormais s’ajourer de petites agglomérations qui trouvent leur place dans le maillage territorial

The 'others' amongst 'them' – selection categories in European resettlement and humanitarian admission programmes

The chapter looks at categorisations as a form of ‘othering’ in the context of European refugee resettlement. Selection categories in resettlement provide insights into states’ preferences, when given the possibility to effectively select refugees before they present themselves at the border. As such, categorisations in such programmes are ways of othering within the group of ‘others’, excluding but also including according to three logics: humanitarian, security and assimilability. The chapter provides a panoramic view of official selection categories of the United Nations High Commissioner for Refugees (UNHCR), European Member States, and the European Union (EU). The analysis shows that, while resettlement is framed as a humanitarian policy for the ‘most vulnerable’, some European states’ programmes and recent EU propositions indicate that besides a humanitarian logic, security and assimilability logics of ‘othering’ also draw the boundaries of access to this privileged form of refugee protection

Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome associated with COVID-19: An Emulated Target Trial Analysis.

RATIONALE: Whether COVID patients may benefit from extracorporeal membrane oxygenation (ECMO) compared with conventional invasive mechanical ventilation (IMV) remains unknown. OBJECTIVES: To estimate the effect of ECMO on 90-Day mortality vs IMV only Methods: Among 4,244 critically ill adult patients with COVID-19 included in a multicenter cohort study, we emulated a target trial comparing the treatment strategies of initiating ECMO vs. no ECMO within 7 days of IMV in patients with severe acute respiratory distress syndrome (PaO2/FiO2 <80 or PaCO2 ≥60 mmHg). We controlled for confounding using a multivariable Cox model based on predefined variables. MAIN RESULTS: 1,235 patients met the full eligibility criteria for the emulated trial, among whom 164 patients initiated ECMO. The ECMO strategy had a higher survival probability at Day-7 from the onset of eligibility criteria (87% vs 83%, risk difference: 4%, 95% CI 0;9%) which decreased during follow-up (survival at Day-90: 63% vs 65%, risk difference: -2%, 95% CI -10;5%). However, ECMO was associated with higher survival when performed in high-volume ECMO centers or in regions where a specific ECMO network organization was set up to handle high demand, and when initiated within the first 4 days of MV and in profoundly hypoxemic patients. CONCLUSIONS: In an emulated trial based on a nationwide COVID-19 cohort, we found differential survival over time of an ECMO compared with a no-ECMO strategy. However, ECMO was consistently associated with better outcomes when performed in high-volume centers and in regions with ECMO capacities specifically organized to handle high demand. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030